Emergency Medicine Research This is an OPML file. It can be used to export all the MedWorm RSS feeds on this topic into your personal RSS reader (usually you have to save this file to your own computer before clicking on an Import OPML command in your own feed reader to upload the file which will then import all the feeds) or it can be used by webmasters to integrate MedWorm feeds with their own website. This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. Subscribe to this data using MyMedWorm.Subscribe to this data using GoogleReader.Subscribe to this data using Bloglines.Subscribe to this data using MyYahoo.

This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 16.

Helicopter emergency medical services (HEMS) response to out-of-hospital cardiac arrest
Conclusion: OHCA represents a significant proportion of HEMS call outs. HEMS most commonly attend post-ROSC OHCA patients and interventions, including pre-hospital anaesthesia and therapeutic hypothermia should be targeted to this phase. HEMS are rarely first on-scene and should only be tasked as a first response to OHCA in remote locations. HEMS may be most appropriately utilised in OHCA by only attending the scene if a patient achieves ROSC.
Source: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine - January 7, 2013 Category: Emergency Medicine Authors: Richard LyonMagnus Nelson Source Type: research

Predictive models of pain following root canal treatment: a prospective clinical study
ConclusionsPredictive formulae for the incidence, the intensity and the duration of postendodontic pain were generated and validated considering the interrelation of multiple concomitant clinical factors. A predictive model for triggering postendodontic pain could not be established.© 2013 International Endodontic Journal. Published by Blackwell Publishing Ltd
Source: International Endodontic Journal - January 7, 2013 Category: Dentistry Authors: A Arias, J C la Macorra, J J Hidalgo, M Azabal Tags: Original Scientific Article Source Type: research

Emergency call from gynecologists: how to treat restless legs syndrome during pregnancy?
Source: European Journal of Neurology - January 7, 2013 Category: Neurology Authors: C. Trenkwalder Tags: Editorial Source Type: research

Tasmania Fires Rage On as Police Search Burned Homes
By Morag MacKinnonPERTH, Australia (Reuters) - Australian police and defense forces searched burned-out vehicles and homes in the towns worst hit by wildfires on the island of Tasmania, where more than 40 fires still raged on Sunday.The blazes began on Thursday on the state's thinly populated southeastern coast, amid a fierce heatwave and strong winds.The heat eased over the weekend, slowing the fires, but late on Sunday firefighters issued an emergency warning for residents in Taranna, 47 km (29 miles) east of the state capital Hobart, where a fire burning for more than three days threatened residents.The national weather...
Source: Scientific American - Official RSS Feed - January 6, 2013 Category: Science Tags: Energy & Sustainability,Climate,Environment,Society Policy Source Type: research

Emergency circulatory support in refractory cardiogenic shock patients in remote institutions: a pilot study (the cardiac-RESCUE program)
Conclusion Offering local ECMO support appears feasible in a majority of RCS patients hospitalized in remote hospitals. In this otherwise lethal situation, our pilot experience suggests that over one-third of such patients can survive to hospital discharge.
Source: European Heart Journal - January 6, 2013 Category: Cardiology Authors: Beurtheret, S., Mordant, P., Paoletti, X., Marijon, E., Celermajer, D. S., Leger, P., Pavie, A., Combes, A., Leprince, P. Tags: Coronary artery disease Source Type: research

Assesment of CABDEAL score as predictor of neurological dysfunction after on-pump coronary artery bypass grafting surgery
INTRODUÇÃO: As complicações neurológicas são temidas no pós-operatório das cirurgias cardíacas, sendo importante causa de óbito e de gastos hospitalares. Sua predição ainda é incerta. OBJETIVO: Avaliar a aplicabilidade de um escore pré-operatório como preditor de disfunção neurológica no pós-operatório de revascularização miocárdica (RM) com circulação extracorpórea (CEC). MÉTODOS: Estudo prospectivo que avaliou 77 pacientes submetidos à RM no período de fevereiro a outubro de 2011. Utilizando-se o escore CABDEAL (creatinine, age, body mass index, diabetes, emergency surgery, abnormality on ECG...
Source: Revista Brasileira de Cirurgia Cardiovascular - January 5, 2013 Category: Cardiovascular & Thoracic Surgery Source Type: research

Time of arrival of patients with acute myocardial infarction to the emergency department
CONCLUSIONS: The perception of signs and symptoms of AMI by the patient was a decisive factor when seeking out specialized treatment. Those with the lowest Delta-T presented better prognosis.
Source: Revista Brasileira de Cirurgia Cardiovascular - January 5, 2013 Category: Cardiovascular & Thoracic Surgery Source Type: research

[Methods of anesthesia in eye surgery.]
Abstract There are several methods for local and general anesthesia in ophthalmological surgery that attempt to provide a stress and pain-free operating environment for both patient and surgeon. The decision-making depends on medical as well as on ophthalmological criteria and jointly falls to ophthalmologists and anesthesiologists. Topical and injective anesthesia (with or without conscious sedation) are generally methods of choice but general anesthesia can be preferable or mandatory in patients with particular internal diseases, children, emergencies and for extended surgical procedures. Pre-emptive analgesia be...
Source: Der Ophthalmologe - January 5, 2013 Category: Opthalmology Authors: Schönfeld CL, Reith M Tags: Ophthalmologe Source Type: research

Can the efficiency of modified Alvarado scoring system in the diagnosis acute appendicitis be increased with tenesmus?
CONCLUSIONS: MASS is a simple, cheap and objective scoring system and does not require expertise. When tenesmus is added to standard MASS, rates of accuracy, sensitivity and specificity become better than those in MASS in the diagnosis of acute appendicitis. PMID: 23292641 [PubMed - as supplied by publisher]
Source: Wiener Klinische Wochenschrift - January 5, 2013 Category: Journals (General) Authors: Bulus H, Tas A, Morkavuk B, Koklu S, Soy D, Coskun A Tags: Wien Klin Wochenschr Source Type: research

Avoiding inappropriate paediatric admission: facilitating General Practitioner referral to Community Children's Nursing Teams
Conclusion: GPs required confidence in CCNs' competence to safely manage acutely ill children at home and secure rapid referral if a child's condition deteriorated. Incremental approaches to developing GP referral to CCNTs underpinned by clear clinical governance protocols are likely to be most effective in building GP confidence and avoiding inappropriate admission.
Source: BMC Family Practice - January 5, 2013 Category: Primary Care Authors: Richard KyleMichele BanksSusan KirkPeter PowellPeter Callery Source Type: research

User needs elicitation via analytic hierarchy process (AHP). A case study on a Computed Tomography (CT) scanner
Conclusions: AHP effectively supported user need elicitation, helping to develop an analytic and intelligible framework of decision-making. User needs varied according to working scenario (elective versus emergency medicine) more than clinical specialization. This method should be considered by practitioners involved in decisions about new medical technology, whether that be during device design or before deciding whether to allocate budgets for new medical devices according to clinical functions or according to hospital department.
Source: BMC Medical Informatics and Decision Making - Latest articles - January 5, 2013 Category: Information Technology Authors: Leandro PecchiaJennifer MartinAngela RagozzinoCarmela VanzanellaArturo ScognamiglioLuciano MirarchiStephen Morgan Source Type: research

GMC invests $1.7M in 128-slice CT scanner
Gwinnett Medical Center has invested $1.7 million in a computed tomography (CT) scanner at its Lawrenceville hospital. The 128-slice CT scanner will be used in GMC Lawrenceville's emergency room, which is a Level II trauma center. The CT scanner boasts lower radiation levels than conventional x-ray devices, and allows physicians to see what was previously unseen, a hospital spokeswoman noted. The device will be used for bariatric, cancer, stroke and cardiac patients because it offers 4-D imaging,…
Source: bizjournals.com Health Care:Hospitals headlines - January 4, 2013 Category: Hospital Management Authors: Urvaksh Karkaria Source Type: research

Tweeting to Save the Day
So Superstorm Sandy comes and pretty much knocks everybody on their butts - and then what? Where to go? Shelters? Food? Which streets are open, and which are flooded? Is somebody dropping off blankets or chain saws somewhere? When?According to Julie Macie, a graduate student at the University of North Carolina working towards a masters in technology and communications , you can't just say, "get online and find out." In fact, she's doing the work to figure out exactly what should happen next, and how: she's put a survey online to find out what people have done with Red Cross social media during and after disasters: tornadoe...
Source: Scientific American - Official RSS Feed - January 4, 2013 Category: Science Tags: Health,Technology Source Type: research

Partial Penile Amputation due to Penile Tourniquet Syndrome in a Child Troubled With Primary Nocturnal Enuresis - A Rare Emergency
Penile tourniquet syndrome (PTS) or acquired constriction ring syndrome (ACRS) is a rare emergency that can lead to a wide range of vascular and soft tissue injuries in the penis. We are presenting a case of penile tourniquet syndrome in an 8-year-old child who had tied a thread around his penis due to primary nocturnal enuresis. On exploration, a constricting thread ring was noticed that was causing partial circumferential distal penile amputation. The thread ring was cut and debridement with primary repair of the wound was done in layers. Prevention of complications needs early diagnosis, timely intervention, and removal...
Source: Urology - January 4, 2013 Category: Urology & Nephrology Authors: Harvinder Singh Pahwa, Awanish Kumar, Rohit Srivastava, Suresh Kumar, Apul Goel, Arshad Ahmad Tags: Pediatric Case Reports Source Type: research

Surgeon and haematologist: A review of comprehensive care for patients with inherited bleeding disorders in Northern Ireland
Conclusions: Surgery in patients with inherited bleeding disorders has become safe with the advent of multidisciplinary CCCs. Close communication between surgeon and haematologist is key in the successful management of these complex patients.
Source: International Journal of Surgery - January 4, 2013 Category: Surgery Authors: Jawad Ahmad, Gary M. Benson, Orla M. McNulty, Nathan Burnside, Sadaf Gull, Imran K. Tailor, Paul C. Winter, Roy A.J. Spence Tags: Reviews Source Type: research

The effectiveness and cost-effectiveness of telephone triage of patients requesting same day consultations in general practice: study protocol for a cluster randomised controlled trial comparing nurse-led and GP-led management systems (ESTEEM)
Background: Recent years have seen an increase in primary care workload, especially following the introduction of a new General Medical Services contract in 2004. Telephone triage and telephone consultation with patients seeking health care represent initiatives aimed at improving access to care. Some evidence suggests that such approaches may be feasible but conclusions regarding GP workload, cost, and patients' experience of care, safety, and health status are equivocal. The ESTEEM trial aims to assess the clinical- and cost-effectiveness of nurse-led computer-supported telephone triage and GP-led telephone triage, compa...
Source: Trials - January 4, 2013 Category: Journals (General) Authors: John CampbellNicky BrittenColin GreenTim HoltValerie LattimerSuzanne RichardsDavid RichardsChris SalisburyRod TaylorEmily Fletcher Source Type: research

Attorney: Hullett should remain employed by JeffCo
A Birmingham attorney contends that Cooper Green Mercy Hospital's former CEO Sandral Hullett should have been kept on the Jefferson County payroll even after the facility ended its inpatient and emergency services on Dec. 31, 2012. U.W. Clemon, a retired U.S. district judge, filed an appeal to the county's personnel board on Dec. 26 and an amended version on Dec. 28, with both filings arguing that Hullett was wrongfully placed on leave. He said he's also seeking a hearing for Hullett within 15 days…
Source: bizjournals.com Health Care:Biotechnology headlines - January 3, 2013 Category: Biotechnology Authors: Yann Ranaivo Source Type: research

Recommendations for Biomonitoring of Emergency Responders: Focus on Occupational Health Investigations and Occupational Health Research
Source: Military Medicine - January 3, 2013 Category: Global & Universal Authors: Decker, John A.DeBord, D. GayleBernard, BruceDotson, G. ScottHalpin, JohnHines, Cynthia J.Kiefer, MaxMyers, KylePage, ElenaSchulte, PaulSnawder, John Tags: Articles Source Type: research

Emergency Physician Evaluation of a Novel Surgical Cricothyroidotomy Tool in Simulated Combat and Clinical Environments
Source: Military Medicine - January 3, 2013 Category: Global & Universal Authors: Walsh, RyanHeiner, JasonKang, ChristopherHile, DavidDeering, Shad Tags: Articles Source Type: research

Population-based study of laparoscopic colorectal cancer surgery 2006-2008.
CONCLUSION: Laparoscopic surgery was used more frequently in low-risk patients. Copyright © 2012 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd. PMID: 23288592 [PubMed - as supplied by publisher]
Source: The British Journal of Surgery - January 3, 2013 Category: Surgery Authors: Taylor EF, Thomas JD, Whitehouse LE, Quirke P, Jayne D, Finan PJ, Forman D, Wilkinson JR, Morris EJ Tags: Br J Surg Source Type: research

Quality-of-care initiative in patients treated surgically for perforated peptic ulcer.
CONCLUSION: This nationwide quality improvement initiative was associated with reduced preoperative delay and improved perioperative monitoring in patients with PPU. A non-significant improvement was seen in 30-day mortality. Copyright © 2012 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd. PMID: 23288621 [PubMed - as supplied by publisher]
Source: The British Journal of Surgery - January 3, 2013 Category: Surgery Authors: Møller MH, Larsson HJ, Rosenstock S, Jørgensen H, Johnsen SP, Madsen AH, Adamsen S, Jensen AG, Zimmermann-Nielsen E, Thomsen RW, for the Danish Clinical Register of Emergency Surgery Tags: Br J Surg Source Type: research

Added value of umbilical vein flow as a predictor of perinatal outcome in term small-for-gestational-age fetuses.
Conclusions: The evaluation of UVBF with spectral brain Doppler allows better identification of SGA fetuses with late-onset intrauterine growth restriction at risk of adverse perinatal outcome. Copyright © 2012 ISUOG. Published by John Wiley & Sons, Ltd. PMID: 23288780 [PubMed - as supplied by publisher]
Source: The Ultrasound Review of Obstetrics and Gynecology - January 3, 2013 Category: Radiology Authors: Parra-Saavedra M, Crovetto F, Triunfo S, Savchev S, Parra G, Sanz M, Gratacos E, Figueras F Tags: Ultrasound Obstet Gynecol Source Type: research

Complicated intra-abdominal infections in a worldwide context: an observational prospective study (CIAOW Study)
Despite advances in diagnosis, surgery, and antimicrobial therapy, mortality rates associated with complicated intra-abdominal infections remain exceedingly high. The World Society of Emergency Surgery (WSES) has designed the CIAOW study in order to describe the clinical, microbiological, and management-related profiles of both community- and healthcare-acquired complicated intra-abdominal infections in a worldwide context. The CIAOW study (Complicated Intra-Abdominal infection Observational Worldwide Study) is a multicenter observational study currently underway in 57 medical institutions worldwide. The study includes pat...
Source: World Journal of Emergency Surgery - January 3, 2013 Category: Emergency Medicine Authors: Massimo SartelliFausto CatenaLuca AnsaloniErnest MooreMark MalangoniGeorge VelmahosRaul CoimbraKaoru KoikeAri LeppaniemiWalter BifflZsolt BaloghCino BendinelliSanjay GuptaYoram KlugerFerdinando AgrestaSalomone di SaverioGregorio TugnoliElio JovineCarlos O Source Type: research

Right diaphragmatic iatrogenic hernia after laparoscopic fenestration of a liver cyst:report of a case and review of the literature
We report the first case of a patient who had a diaphragmatic hernia after laparoscopic fenestration of liver cyst. A herniorrhaphy of the diaphragmatic defect was carried out after reducing the herniated organ. The postoperative course was uneventful. Diaphragmatic hernias are not as common as the traumatic type. Surgeons can easily miss diaphragmatic injuries during the operation especially after laparoscopy. Late diagnosis of iatrogenic diaphragmatic hernias is frequent. Ct scan is helpful for diagnosis. Surgery is the treatment of diaphragmatic hernia at the time of diagnosis, even with asymptomatic patients. The incid...
Source: World Journal of Emergency Surgery - January 3, 2013 Category: Emergency Medicine Authors: Mehdi SoufiHélène MeillatYves-Patrice Le Treut Source Type: research

An Assessment of Clinical Performance Measures for Pediatric Emergency Physicians
The objectives were to evaluate clinical performance measures used for pediatric emergency medicine (PEM) physicians for reliability, correlation with one another, and relationship with clinical experience. This retrospective cohort study collected performance data for PEM physicians working at an urban children’s hospital emergency department (ED) for each of 7 consecutive 6-month periods. Low correlations were seen between patients per hour or admission rate and 72-hour revisit rates. No significant association existed between level of experience and any performance measure. Physician treatment times appeared to be...
Source: American Journal of Medical Quality - January 3, 2013 Category: Health Management Authors: Mittal, M. K., Zorc, J. J., Garcia-Espana, J. F., Shaw, K. N. Tags: Articles Source Type: research

Transporting newborns with transposition of the great arteries
ConclusionsMost newborns with TGA remain stable or improve during transport. There is a rate of adverse events; however, this reinforces the need to facilitate delivery where there is ready access to interventional paediatric cardiology services.
Source: Journal of Paediatrics and Child Health - January 3, 2013 Category: Pediatrics Authors: Patricia Woods, Kathryn Browning Carmo, Margaret Wall, Andrew Berry Tags: Original Article Source Type: research

Quality‐of‐care initiative in patients treated surgically for perforated peptic ulcer
Conclusion:This nationwide quality improvement initiative was associated with reduced preoperative delay and improved perioperative monitoring in patients with PPU. A non‐significant improvement was seen in 30‐day mortality. Copyright © 2012 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
Source: British Journal of Surgery - January 3, 2013 Category: Surgery Authors: M. H. Møller, H. J. Larsson, S. Rosenstock, H. Jørgensen, S. P. Johnsen, A. H. Madsen, S. Adamsen, A. G. Jensen, E. Zimmermann‐Nielsen, R. W. Thomsen, Tags: Original Article Source Type: research

Population‐based study of laparoscopic colorectal cancer surgery 2006–2008
Conclusion:Laparoscopic surgery was used more frequently in low‐risk patients. Copyright © 2012 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
Source: British Journal of Surgery - January 3, 2013 Category: Surgery Authors: E. F. Taylor, J. D. Thomas, L. E. Whitehouse, P. Quirke, D. Jayne, P. J. Finan, D. Forman, J. R. Wilkinson, E. J. A. Morris Tags: Original Article Source Type: research

Added value of umbilical vein flow as a predictor of perinatal outcome in term small‐for‐gestational‐age fetuses
Conclusions: The evaluation of UVBF with spectral brain Doppler allows better identification of SGA fetuses with late‐onset intrauterine growth restriction at risk of adverse perinatal outcome. Copyright © 2012 ISUOG. Published by John Wiley & Sons, Ltd.
Source: Ultrasound in Obstetrics and Gynecology - January 3, 2013 Category: Radiology Authors: M. Parra‐Saavedra, Francesca Crovetto, Stefania Triunfo, Stefan Savchev, Guido Parra, Magda Sanz, Eduard Gratacos, Francesc Figueras Tags: Original Paper Source Type: research

Integrating Emergency Care Into a Patient- and Outcome-Centered Health Care System
SEE RELATED ARTICLE, P. 293 [Ann Emerg Med. 2013;61:301-302.]
Source: Annals of Emergency Medicine - January 2, 2013 Category: Emergency Medicine Authors: Shantanu Agrawal, Patrick H. Conway Tags: Health Policy Source Type: research

Reply
To the Editor: It is an honor to have received the attention of Dr. Walton. We are in agreement with all of his points and very pleased that he chose to add weight to our report by providing his invaluable insights. We appreciate his perspective in agreeing with us that Urrets-Zavalia syndrome is indeed a complication resulting from acute increased IOP in the immediate postoperative period. We also appreciate his comments highlighting the risk of viscoelastics. Removing much of the viscoelastic after the angle incision has advantages and is our usual procedure. In addition, perhaps not all viscoelastics pose equal risk, an...
Source: Journal of AAPOS - January 2, 2013 Category: Opthalmology Authors: James Reynolds, James Chelnis, Sandra Sieminski Tags: Letters to the Editor Source Type: research

Transient Ischemic Attack: An Evidence-Based Update (Stroke CME)
Since the 2008 issue of Emergency Medicine Practice on TIA was published, there have been numerous studies focusing on improving risk stratification and early management strategies in TIA. This update will provide the best available evidence on diagnosing and managing TIAs.
Source: Emergency Medicine Practice - January 2, 2013 Category: Emergency Medicine Source Type: research

Molecular and clinical evaluation of the acute human parvovirus B19 infection: comparison of two cases in children with sickle cell disease and discussion of the literature.
Abstract Human parvovirus B19 is a well-known cause of severe conditions in patients with sickle cell disease, but the molecular mechanisms of the infection are insufficiently understood. The different clinical outcome of the acute parvovirus B19 infection in two pediatric patients with sickle cell disease has been examined. One of them developed life-threatening condition requiring emergency transfusions, while the other had asymptomatic infection, diagnosed occasionally. Both cases had high viral load and identical subgenotype, indicating that the viral molecular characteristics play a minimal role in the infecti...
Source: Braz J Infect Dis - January 2, 2013 Category: Infectious Diseases Authors: Slavov SN, Kashima S, Silva-Pinto AC, Amarilla AA, Aquino VH, Covas DT Tags: Braz J Infect Dis Source Type: research

Pheochromocytoma Crisis Is Not a Surgical Emergency.
Conclusions:Management of patients presenting with pheochromocytoma crisis should include initial stabilization of the acute crisis followed by sufficient α-blockade before surgery. Emergency resection of pheochromocytoma is associated with high surgical morbidity and mortality. PMID: 23284003 [PubMed - as supplied by publisher]
Source: The Journal of Clinical Endocrinology and Metabolism - January 2, 2013 Category: Endocrinology Authors: Scholten A, Cisco RM, Vriens MR, Cohen JK, Mitmaker EJ, Liu C, Tyrrell JB, Shen WT, Duh QY Tags: J Clin Endocrinol Metab Source Type: research

Acute Aortic Emergencies—Part 2 Aortic Dissections
Patients with aortic disease are some of the highest acuity patients that emergency clinicians encounter. Dissection is the most common aortic catastrophe and involves separation of the aortic layers in a longitudinal fashion leading to diminished perfusion and systemic ischemia. Characteristics of pain, branch vessel involvement, and incidence lead to an understanding of patient presentation, morbidity, and mortality. Diagnosis, selection of diagnostic studies, the degree of preoperative ischemia, and risk of operative mortality can be accomplished using validated clinical decision tools. Emergency interventions are guide...
Source: Advanced Emergency Nursing Journal - January 1, 2013 Category: Emergency Medicine Tags: Cases of Note Source Type: research

Pediatric Emergency Department Provider Perceptions of Universal Sexually Transmitted Infection Screening
The purpose of this study was to describe the perceptions of pediatric emergency care providers in relation to implementing a universal sexually transmitted infection screening process for adolescent female patients in a pediatric emergency department. A descriptive qualitative design was used with a convenience sample of pediatric emergency physicians and nurses working in a large urban, pediatric teaching hospital. Participants were individually interviewed using a standard interview guide. Verbatim transcripts were analyzed using a modified constant comparative analysis method. Three overriding themes were identified th...
Source: Advanced Emergency Nursing Journal - January 1, 2013 Category: Emergency Medicine Tags: Cases of Note Source Type: research

Rapid Sequence Intubation Medication Therapies: A Review in Light of Recent Drug Shortages
No abstract available
Source: Advanced Emergency Nursing Journal - January 1, 2013 Category: Emergency Medicine Tags: CE Test Source Type: research

Achieving Prescriptive Authority for Clinical Nurse Specialists
No abstract available
Source: Advanced Emergency Nursing Journal - January 1, 2013 Category: Emergency Medicine Tags: From the Editors Source Type: research

The Legal and Ethical Implications of Social Media in the Emergency Department
This article seeks to discuss the legal and ethical principles surrounding social media in the emergency department.
Source: Advanced Emergency Nursing Journal - January 1, 2013 Category: Emergency Medicine Tags: Cases of Note Source Type: research

What Is Known About Outcomes of Patients With Low Back Pain?
Review of recent evidence with translation to practice for the role of advanced practice registered nurses is presented using a case study module for the following: “What is known about Outcomes of Patients with Low Back Pain? The study results showed that patients with low back pain may have substantial continuing pain and functional limitations. The implications and clinical relevance of these findings for advanced practice nurses are discussed highlighting best evidence.
Source: Advanced Emergency Nursing Journal - January 1, 2013 Category: Emergency Medicine Tags: Research to Practice Source Type: research

Development and Implementation of the Memorial Emergency Department Fall Risk Assessment Tool
The purpose of this study was to determine the validity and reliability of an evidence-based, emergency department (ED) fall risk assessment tool as a sensitive predictor for falls in the ED population. The overarching goal of the project was to improve patient safety and eliminate patient falls resulting in serious injury in the ED. An ED-specific tool was designed on the basis of the risk factors consistently identified in the literature: prior fall history, impaired mobility, altered mental status, altered elimination, and the use of sedative medication. The Memorial ED Fall Risk Assessment Tool was validated in two EDs...
Source: Advanced Emergency Nursing Journal - January 1, 2013 Category: Emergency Medicine Tags: Cases of Note Source Type: research

EMLA Application Exceeding Two Hours Improves Pediatric Emergency Department Venipuncture Success
The purpose of this study was to determine whether placing Eutectic Mixture of Local Anesthetics (EMLA) at emergency department (ED) triage improves venipuncture success. Emergency department triage nurses prospectively identified patients aged 0–18 years assessed to have 50% or greater chance of needing venipuncture while in the emergency department. Identified patients received EMLA or no intervention according to randomized 24-h blocks. Data were collected on need for venipuncture, venipuncture success (defined as obtaining access in one attempt), and duration and success of EMLA application (defined as EMLA occluded ...
Source: Advanced Emergency Nursing Journal - January 1, 2013 Category: Emergency Medicine Tags: Cases of Note Source Type: research

Rapid Sequence Intubation Medication Therapies: A Review in Light of Recent Drug Shortages
Rapid sequence intubation is a stepwise process developed to assist health care providers in placing emergent artificial airways for patients requiring assisted ventilation. This practice includes routine administration of sedative and neuromuscular blocking agent (NMBA) medications for patient comfort during endotracheal tube placement. Members of the multidisciplinary team should be well educated about the various medications used during this process to ensure safe medication practices in an emergent situation. Recent drug shortages have forced many health care professionals to use alternative medications with which they...
Source: Advanced Emergency Nursing Journal - January 1, 2013 Category: Emergency Medicine Tags: Applied Pharmacology Source Type: research

Fractures of the Distal Radius
Distal radius fractures represent 1 of every 6 fractures treated in emergency departments (EDs) each year. This injury has a peak incidence within both the 5- to 24-year-old age group and the elderly female population aged 65 years and older. An understanding of the functional anatomy of the wrist fracture will greatly aid the practitioner in proper treatment and referral for these injuries. After obtaining wrist radiographs, a thorough examination must be performed. Once anesthesia is achieved (via hematoma block, sedation, or Bier block), the first line of treatment of distal radius fractures is to reduce the fracture an...
Source: Advanced Emergency Nursing Journal - January 1, 2013 Category: Emergency Medicine Tags: Imaging Source Type: research

Effectiveness of low-dose prolonged infusion of tissue plasminogen activator in a nonagenarian patient with acute pulmonary embolism and main pulmonary artery thrombus
Acute pulmonary embolism is an important emergency disease which frequently results in life-threatening complication. Systemic fibrinolysis is recommended as standard, first-line therapy in patients with massive pulmonary embolism. In the case described in this report, a 95-year-old woman was treated with low-dose prolonged infusion of tissue plasminogen activator for acute pulmonary embolism and mobile thrombus in the main pulmonary artery and right pulmonary artery. On the basis of echocardiographic findings, acute thrombolysis with low-dose prolonged infusion of tissue plasminogen activator was performed resulting in he...
Source: Blood Coagulation and Fibrinolysis - January 1, 2013 Category: Hematology Tags: Case Reports Source Type: research

Comparison of empirical estimate of clinical pretest probability with the Wells score for diagnosis of deep vein thrombosis
Wells score has been validated for estimation of pretest probability in patients with suspected deep vein thrombosis (DVT). In clinical practice, many clinicians prefer to use empirical estimation rather than Wells score. However, which method is better to increase the accuracy of clinical evaluation is not well understood. Our present study compared empirical estimation of pretest probability with the Wells score to investigate the efficiency of empirical estimation in the diagnostic process of DVT. Five hundred and fifty-five patients were enrolled in this study. One hundred and fifty patients were assigned to examine th...
Source: Blood Coagulation and Fibrinolysis - January 1, 2013 Category: Hematology Tags: Original Articles Source Type: research

Endogenous panophthalmitis with orbital cellulitis secondary to Escherichia Coli
A 69 year‐old Caucasian female presented to the emergency department with one week of progressive pain, eyelid swelling and decreasing vision in her left eye. Her past medical history was significant for advanced inoperable pancreatic cancer and had undergone palliative care with biliary stent placement and radiation 5 months ago. Her visual acuity was 20/70 OD and light perception OS. Her right pupil was reactive to light and her left pupil was fixed and non reactive, with a left APD. She had 10 mm of proptosis, total ophthalmoplegia OS and complete ptosis with no levator function (figure 1). There was left eyelid eryth...
Source: Clinical and Experimental Ophthalmology - January 1, 2013 Category: Opthalmology Authors: Thanos D Papakostas, Nahyoung G Lee, Daniel R Lefebvre, Miriam B Barshak, Suzanne K Freitag Tags: Letter to the Editor Source Type: research