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

Proper Use of Epinephrine for Anaphylaxis
(MedPage Today) -- First step: know your device (Source: MedPage Today Emergency Medicine)
Source: MedPage Today Emergency Medicine - August 31, 2015 Category: Emergency Medicine Source Type: news

An interesting case of characteristic methanol toxicity through inhalational exposure - Kumar P, Gogia A, Kakar A, Miglani P.
Methanol poisoning is rare but carries high risk of morbidity and mortality. Most of the cases witnessed in emergency are due to consumption of adulterated alcohol. Here we are reporting a very rare case of methanol poisoning through inhalational exposure ... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - August 30, 2015 Category: Global & Universal Tags: Alcohol and Other Drugs Source Type: news

Factors affecting dural penetration and prognosis in patients admitted to emergency department with cranial gunshot wound - İçer M, Zengin Y, Dursun R, Durgun HM, Göya C, Yıldız I, Güloğlu C.
In this study, the medical data of 56 subjects w... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - August 30, 2015 Category: Global & Universal Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

Impact of extreme heat events on emergency department visits in North Carolina (2007-2011) - Fuhrmann CM, Sugg MM, Konrad CE, Waller A.
In this study, data on e... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - August 30, 2015 Category: Global & Universal Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

Reversal of antithrombotic treatment in intracranial hemorrhage--A review of current strategies and guidelines.
Abstract In the last few years, there has been a rapid increase in patients being treated with various anticoagulation and antiplatelet agents. In clinical neurology, these drugs are administered for primary and secondary stroke prevention or to avoid the consequences of immobilization of severe stroke patients. Additionally, thrombolytic intravenous therapy and, recently, intra-arterial therapy for stroke have been increasingly employed all over the world. These therapies are associated with an increased risk of hemorrhage, including the most dangerous, intracranial hemorrhage. The knowledge of the standards for t...
Source: Neurologia i Neurochirurgia Polska - August 30, 2015 Category: Neurology Authors: Grzegorski T, Andrzejewska N, Kaźmierski R Tags: Neurol Neurochir Pol Source Type: research

Correlation between decrease of CRP and resolution of airway inflammatory response, improvement of health status, and clinical outcomes during severe acute exacerbation of chronic obstructive pulmonary disease
Abstract Circulating C-reactive protein (CRP) plays an important role in mediating extra-pulmonary complications of chronic obstructive pulmonary disease (COPD). The aim of this study was to investigate the relationship between changes in high sensitivity (hs)-CRP levels and the resolution of airway inflammatory markers and clinical health status during the recovery period after an acute exacerbation of COPD (AECOPD). Consecutive patients hospitalized for AECOPD were recruited. Serum hs-CRP, airway inflammatory markers, and COPD Assessment Test (CAT) score were evaluated at admission prior to treatment and at day...
Source: Internal and Emergency Medicine - August 30, 2015 Category: Emergency Medicine Source Type: research

The involvement of T regulatory lymphocytes in a cohort of lupus nephritis patients: a pilot study
This study investigated the variations of Tregs Foxp3+ in the kidney biopsies inflammatory infiltrate of different lupus nephritis classes compared to that of ANCA glomerulonephritis, acute tubulointerstitial nephritis and nephroangiosclerosis. Sections of paraffin-embedded tissue have been stained by immunohistochemistry with anti-CD3 and anti-FoxP3 antibodies. We find that the ratio of FoxP3+/CD3+ cells is significantly lower in patients with lupus nephritis class IV and in patients with vasculitides than in the course of nephroangiosclerosis, tubulointerstitial nephritis and lupus nephritis class V. The data presented h...
Source: Internal and Emergency Medicine - August 30, 2015 Category: Emergency Medicine Source Type: research

Heart rate in pulmonary embolism
Abstract Heart rate is a rapidly available risk stratification parameter in acute pulmonary embolism (PE). We aimed to investigate the effectiveness of heart rate in predicting the outcome in acute PE. Data of 182 patients with acute PE were analysed retrospectively. Logistic regression models were calculated to investigate the associations between heart rate and in-hospital death, myocardial necrosis, PE status and presence of right ventricular dysfunction (RVD), respectively. ROC curve and cut-off values for heart rate predicting RVD as well as intermediate risk PE status in normotensive PE patients and for hea...
Source: Internal and Emergency Medicine - August 30, 2015 Category: Emergency Medicine Source Type: research

Direct oral anticoagulants in atrial fibrillation: can data from randomized clinical trials be safely transferred to the general population? No
Abstract Direct oral anticoagulants (DOAC) represent an innovative and relevant treatment for the prevention of cardiac embolism in patients with atrial fibrillation (AF). Their introduction has been followed by an ample debate on their appropriate use, considering that they can offer an effective treatment for the many patients with AF, which are not taking any effective anticoagulant treatment, even though they have a substantial thromboembolic risk (1). On the other hand, DOAC are much less tested in everyday clinical practice and much more expensive than anti-vitamin k anticoagulants (AVKs). Starting from the...
Source: Internal and Emergency Medicine - August 30, 2015 Category: Emergency Medicine Source Type: research

Efficacy of a nutritional education program to improve diet in patients attending a cardiac rehabilitation program: outcomes of a one-year follow-up
Abstract Dietary habits are widely reported to play a primary role in the occurrence of coronary artery disease (CAD). Cardiac rehabilitation is a multidisciplinary intervention that includes nutritional education. Proper nutrition plays an important role in cardiovascular health outcomes and in decreasing morbidity and mortality of cardiovascular diseases (CVD) as highlighted in the literature. The aim of this study was to assess the efficacy of an educational program to improve the diet of cardiac rehabilitation patients compared to usual treatment. 160 patients with CAD, (124 M, 36 F) were randomized into two ...
Source: Internal and Emergency Medicine - August 30, 2015 Category: Emergency Medicine Source Type: research

Giant left atrium calcification
(Source: Internal and Emergency Medicine)
Source: Internal and Emergency Medicine - August 30, 2015 Category: Emergency Medicine Source Type: research

Rapid, more sensitive test speeds up chest pain triage
(European Society of Cardiology) Patients arriving at the emergency department with chest pain suggestive of acute myocardial infarction can be triaged more quickly and more safely using a new rapid assay with refined cut-offs, German research suggests. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - August 30, 2015 Category: Global & Universal Source Type: news

CPR for out-of-hospital cardiac arrest should be conducted for at least 35 minutes
(European Society of Cardiology) Cardiopulmonary resuscitation (CPR) for out-of-hospital cardiac arrest should be conducted for at least 35 minutes, according to research presented at ESC Congress today by Dr. Yoshikazu Goto, associate professor and director of the Department of Emergency and Critical Care Medicine at Kanazawa University Hospital in Kanazawa, Japan. The study in more than 17,000 patients found that nearly all survivals were achieved within 35 minutes and longer CPR achieved little benefit. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - August 30, 2015 Category: Global & Universal Source Type: news

Anaphylaxis in Adolescent/Adult Patients Treated in the Emergency Department: Differences Between Initial Impressions and the Definitive Diagnosis.
CONCLUSIONS: The incidence of anaphylaxis (0.08%) was double that estimated in the ED. Anaphylaxis is underdiagnosed. A correct diagnosis conditions the administration of epinephrine, regardless of the severity of symptoms. The real etiology of anaphylaxis should only be proposed after an allergy workup, which is recommended in all cases, as the real cause can differ considerably from the initial impression in the ED. PMID: 26310044 [PubMed - in process] (Source: Journal of Investigational Allergology and Clinical Immunology)
Source: Journal of Investigational Allergology and Clinical Immunology - August 30, 2015 Category: Allergy & Immunology Authors: Alvarez-Perea A, Tomás-Pérez M, Martínez-Lezcano P, Marco G, Pérez D, Zubeldia JM, Baeza ML Tags: J Investig Allergol Clin Immunol Source Type: research

Clinical Management and Use of Health Care Resources in the Treatment of Nasal Polyposis in Spanish Allergy Centers: The POLAR Study.
CONCLUSIONS: NP is a chronic inflammatory disease that generates considerable use of health care resources. The close association with atopy, asthma, and NSAID hypersensitivity highlights the usefulness of an allergy workup in all patients with NP. Analysis of the clinical management of NP by allergists in Spain revealed a high degree of compliance with EPOS diagnostic and therapeutic recommendations. PMID: 26310042 [PubMed - in process] (Source: Journal of Investigational Allergology and Clinical Immunology)
Source: Journal of Investigational Allergology and Clinical Immunology - August 30, 2015 Category: Allergy & Immunology Authors: Rondón C, Dávila I, Navarro Pulido AM, Sánchez MC, Montoro J, Matheu V, Lluch-Bernal M, Fernández-Parra B, Ibáñez MD, Dordal MT, Colás C, Antón E, Valero A, Rhinoconjunctivitis Committee, Spanish Society of Allergy and Clinical Immunology Tags: J Investig Allergol Clin Immunol Source Type: research

An Age-Adjusted D-dimer Threshold for Emergency Department Patients With Suspected Pulmonary Embolus: Accuracy and Clinical Implications
Conclusion An age-adjusted D-dimer limit has the potential to reduce chest imaging among older ED patients and is more accurate than a standard threshold of 500 ng/dL. Our findings support the adoption of an age-adjusted D-dimer cutoff in community EDs. (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - August 30, 2015 Category: Emergency Medicine Source Type: research

Imaging Foreign Bodies: Ingested, Aspirated, and Inserted
Publication date: Available online 29 August 2015 Source:Annals of Emergency Medicine Author(s): Hsiang-Jer Tseng, Tarek N. Hanna, Waqas Shuaib, Majid Aized, Faisal Khosa, Ken F. Linnau Foreign bodies can gain entrance to the body through several mechanisms, ie, ingestion, aspiration, and purposeful insertion. For each of these common entry mechanisms, this article examines the epidemiology, clinical presentation, anatomic considerations, and key imaging characteristics associated with clinically relevant foreign bodies seen in the emergency department (ED) setting. We detail optimal use of multiple imaging techniq...
Source: Annals of Emergency Medicine - August 30, 2015 Category: Emergency Medicine Source Type: research

Pediatric Readiness and Facility Verification
Conclusion We report on the first comprehensive statewide assessment of “pediatric readiness” in EDs according to the 2009 “Guidelines for Care of Children in the Emergency Department.” The presence of a pediatric readiness verification process, pediatric emergency care coordinator, and quality improvement plan for pediatric emergency care was associated with higher levels of pediatric readiness. (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - August 30, 2015 Category: Emergency Medicine Source Type: research

Diphenhydramine as Adjuvant Therapy for Acute Migraine: An Emergency Department–Based Randomized Clinical Trial
Conclusion Intravenous diphenhydramine, when administered as adjuvant therapy with metoclopramide, does not improve migraine outcomes. (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - August 30, 2015 Category: Emergency Medicine Source Type: research

Pediatric Intubation by Paramedics in a Large Emergency Medical Services System: Process, Challenges, and Outcomes
Conclusion Pediatric intubation by paramedics was performed infrequently in this EMS system. Although overall intubation success was high, a detailed evaluation of the process of intubation revealed specific challenges and adjustments that can be anticipated by paramedics to improve first-pass success, potentially reduce complications, and ultimately improve clinical outcomes. (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - August 30, 2015 Category: Emergency Medicine Source Type: research

What Is the Risk of Symptomatic Intracerebral Hemorrhage in Patients With Stroke Mimics Who Receive Intravenous Thrombolytics?
Publication date: Available online 29 August 2015 Source:Annals of Emergency Medicine Author(s): Brit J. Long, Alex Koyfman (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - August 30, 2015 Category: Emergency Medicine Source Type: research

From Context Comes Expertise: How Do Expert Emergency Physicians Use Their Know-Who to Make Decisions?
Conclusion Emergency physicians interact with many other health care workers during the different stages of the patient’s management. The many ways in which experts use their knowledge of other health care professionals to make decisions puts traditional conceptions of expert knowledge into perspective and opens avenues for future research. (Source: Annals of Emergency Medicine)
Source: Annals of Emergency Medicine - August 30, 2015 Category: Emergency Medicine Source Type: research

Iatrogenic hypermagnesemia following Epsom salt enema
Publication date: Available online 29 August 2015 Source:Journal of Acute Medicine Author(s): Michael R. Prystajecky, Sarah Parent, Habib ur Rehman Constipation is a common problem in the older population. Among other treatment modalities, Epsom salt enema has been used in emergency rooms. Since Epsom salts are 100% magnesium sulfate and excreted wholly through the kidneys, hypermagnesemia may result from their use, particularly in patients with impaired renal function. A case of fatal iatrogenic hypermagnesemia resulting from the administration of an Epsom salt enema is presented here. We suggest that magnesium-conta...
Source: Journal of Acute Medicine - August 30, 2015 Category: Emergency Medicine Source Type: research

Antiviral activity of some plant oils against herpes simplex virus type 1 in Vero cell culture
Conclusion It can be concluded that the oils studied in this research have significant inhibitory effect on HSV-1 and thus they could be used as an anti-HSV-1 agent in the context of herbal mouth wash. (Source: Journal of Acute Medicine)
Source: Journal of Acute Medicine - August 30, 2015 Category: Emergency Medicine Source Type: research

Scientific journalism in Africa to help fight global health emergencies
Publication date: 29 August–4 September 2015 Source:The Lancet, Volume 386, Issue 9996 Author(s): Gilles Guerrier, Lea Sjögren, Marc Guerrier, Sandrine Bretonnière, Tatiana Letier, Aurélien Dancoisne, Morgane Wirtz, Eric D'Ortenzio (Source: The Lancet)
Source: The Lancet - August 30, 2015 Category: Journals (General) Source Type: research

Prevalence of injury and associated factors among patients visiting the Emergency Departments of Amhara Regional State Referral Hospitals, Ethiopia: a cross-sectional study - Bashah DT, Dachew BA, Tiruneh BT.
BACKGROUND: Injury significantly affecting the health and well-being of the society. The prevalence tends to be higher in low income countries. The aim of this study was to assess the prevalence of injury and associated factors among patients visiting emer... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - August 29, 2015 Category: Global & Universal Tags: Alcohol and Other Drugs Source Type: news

Real-time fatigue reduction in emergency care clinicians: the SleepTrackTXT randomized trial - Patterson PD, Buysse DJ, Weaver MD, Doman JM, Moore CG, Suffoletto BP, McManigle KL, Callaway CW, Yealy DM.
BACKGROUND: We assessed performance characteristics and impact of a mobile phone text-message intervention for reducing intra-shift fatigue among emergency clinician shift workers. METHODS: We used a randomized controlled trial of 100 participants.... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - August 29, 2015 Category: Global & Universal Tags: Distraction, Fatigue, Chronobiology, Vigilance, Workload Source Type: news

Occupational heat-related illness emergency department visits and inpatient hospitalizations in the southeast region, 2007-2011 - Harduar Morano L, Bunn TL, Lackovic M, Lavender A, Dang GT, Chalmers JJ, Li Y, Zhang L, Flammia DD.
BACKGROUND: Heat-related illness (HRI) is an occupational health risk for many outdoor, and some indoor, workers. METHODS: Emergency department (ED) and inpatient hospitalization (IH) data for 2007-2011 from nine southeast states were analyzed to i... (Source: SafetyLit: All (Unduplicated))
Source: SafetyLit: All (Unduplicated) - August 29, 2015 Category: Global & Universal Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

Tropical Storm Erika Weakens
(HAVANA) — Tropical Storm Erika dissipated early Saturday, even as its remnants began drenching parts of eastern Cuba. But it left devastation in its path, killing at least 20 people and leaving nearly 50 missing on the small eastern Caribbean island of Dominica, authorities said. In Haiti, one person died in a mudslide just north of Port-au-Prince, and at least four others were killed in a traffic accident that apparently occurred in the rain. The U.S. National Hurricane Center in Miami said the storm had degenerated into a trough of low pressure by early Saturday after mountains and an unfavorable environment in Hi...
Source: TIME: Top Science and Health Stories - August 29, 2015 Category: Science Authors: Jacob Davidson Tags: Uncategorized weather Source Type: news

Audit of appropriate use of oral nutritional supplements in care homes in North Hampshire
Malnutrition, in terms of under-nourishment, is both a cause and consequence of disease. It is common and affects between 30-50% of care home residents1. Malnutrition was found to cost the NHS £13 billion in 20062. Oral nutritional Supplements (ONS) have been shown to effectively treat malnutrition when used appropriately. Studies have shown improved nutritional care can reduce emergency admissions, infection risk, improve wound care and reduce their associated costs2. Better nutritional care for individuals at risk can result in substantial cost savings to the NHS and even a saving of 1% of the annual health care cost of...
Source: e-SPEN, The European e-Journal of Clinical Nutrition and Metabolism - August 29, 2015 Category: Nutrition Authors: K. Malcolmson Source Type: research

A metoprolol–terbinafine combination induced bradycardia
Abstract To report a sinus bradycardia induced by metoprolol and terbinafine drug–drug interaction and its management. A 63 year-old Caucasian man on metoprolol 200 mg/day for stable coronary artery disease was prescribed a 90-day course of oral terbinafine 250 mg/day for onychomycosis. On the 49th day of terbinafine therapy, he was brought to the emergency room for a decrease of his global health status, confusion and falls. The electrocardiogram revealed a 37 beats/min sinus bradycardia. A score of 7 on the Naranjo adverse drug reaction probability scale indicates a probable relationship between the patie...
Source: European Journal of Drug Metabolism and Pharmacokinetics - August 29, 2015 Category: Drugs & Pharmacology Source Type: research

Does routine symptom screening with ESAS decrease ED visits in breast cancer patients undergoing adjuvant chemotherapy?
Conclusions Our results demonstrate that screening with ESAS is associated with decreased ED visits. To our knowledge, this is the first report on the effectiveness of routinely documenting a patient reported outcome on ED visits, in a real-world setting. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - August 29, 2015 Category: Cancer & Oncology Source Type: research

Minimally invasive implantation of a novel flexible intramedullary nail in patients with displaced midshaft clavicle fractures
Conclusion The technique we described herein provided successful procedural outcomes, eliminated the need for deep dissection of the fracture site and reduced the operation time. Further study on larger populations is warranted to confirm these findings. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - August 29, 2015 Category: Emergency Medicine Source Type: research

[Correspondence] Scientific journalism in Africa to help fight global health emergencies
The epidemic of the Ebola virus disease is not over yet because of persisting fear, mistrust, and opposition in Guinea, Liberia, and Sierra Leone.1 In view of the absence of an effective vaccine or treatment for this disease hitherto, outbreak control relies on isolation measures, monitoring contact cases, and disseminating preventive advice. However, despite the crucial importance of communication in outbreak contexts, there is no clear proposal from international agencies to improve the quality of broadcasted information in the wake of this epidemic. (Source: LANCET)
Source: LANCET - August 29, 2015 Category: Journals (General) Authors: Gilles Guerrier, Lea Sjögren, Marc Guerrier, Sandrine Bretonnière, Tatiana Letier, Aurélien Dancoisne, Morgane Wirtz, Eric D'Ortenzio Tags: Correspondence Source Type: research