MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Academic Emergency Medicine' source. Wed, 17 Mar 2010 14:19:21 +0100 http://www.medworm.com/index.php?rid=3344057&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2010.00690.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3344057 Tue, 09 Mar 2010 00:00:00 +0100 3344057 http://www.medworm.com/index.php?rid=3344058&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2010.00671.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3344058 Mon, 08 Mar 2010 00:00:00 +0100 3344058 http://www.medworm.com/index.php?rid=3260539&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2010.00687.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3260539 Thu, 11 Feb 2010 00:00:00 +0100 3260539 http://www.medworm.com/index.php?rid=3260546&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2010.00692.x This article provides an in-depth look at the CSP and its impact on emergency medicine (EM). To date, 41 EPs have trained through the program, with increasing numbers in recent years. Graduates have gone on to become leaders in academia, public health, private industry, and foundations. Past and present EM-trained Clinical Scholars are working to find creative solutions for the challenges posed by the U.S. health care system and improve the delivery of emergency care. Emergency physicians who wish to conduct research or work with communities, organizations, practitioners, and policy-makers to address issues essential to the health and well-being of all Americans should consider the Robert Wood Johnson Foundation CSP. (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3260546 Wed, 10 Feb 2010 00:00:00 +0100 3260546 http://www.medworm.com/index.php?rid=3260545&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2010.00668.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3260545 Wed, 10 Feb 2010 00:00:00 +0100 3260545 http://www.medworm.com/index.php?rid=3260544&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2010.00669.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3260544 Wed, 10 Feb 2010 00:00:00 +0100 3260544 http://www.medworm.com/index.php?rid=3260543&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2010.00672.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3260543 Wed, 10 Feb 2010 00:00:00 +0100 3260543 http://www.medworm.com/index.php?rid=3260542&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00679.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3260542 Wed, 10 Feb 2010 00:00:00 +0100 3260542 http://www.medworm.com/index.php?rid=3260541&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2010.00685.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3260541 Wed, 10 Feb 2010 00:00:00 +0100 3260541 http://www.medworm.com/index.php?rid=3260540&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2010.00686.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3260540 Wed, 10 Feb 2010 00:00:00 +0100 3260540 http://www.medworm.com/index.php?rid=3199187&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00661.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3199187 Sat, 23 Jan 2010 00:00:00 +0100 3199187 http://www.medworm.com/index.php?rid=3199188&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00659.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3199188 Fri, 22 Jan 2010 00:00:00 +0100 3199188 http://www.medworm.com/index.php?rid=3160984&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00662.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3160984 Tue, 12 Jan 2010 00:00:00 +0100 3160984 http://www.medworm.com/index.php?rid=3160997&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00632.x Conclusions: COMLEX-1 scores predict only 62.3% of the variance in USMLE-1 scores, and the scores are not interchangeable. (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3160997 Mon, 11 Jan 2010 00:00:00 +0100 3160997 http://www.medworm.com/index.php?rid=3160996&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00636.x Conclusions: This study demonstrates that children treated with IN fentanyl received analgesic medication faster than those treated with IV morphine in a mixed ED. Younger children were more likely to receive opioid analgesia following the introduction of fentanyl. (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3160996 Mon, 11 Jan 2010 00:00:00 +0100 3160996 http://www.medworm.com/index.php?rid=3160995&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00637.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3160995 Mon, 11 Jan 2010 00:00:00 +0100 3160995 http://www.medworm.com/index.php?rid=3160994&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00638.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3160994 Mon, 11 Jan 2010 00:00:00 +0100 3160994 http://www.medworm.com/index.php?rid=3160993&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00643.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3160993 Mon, 11 Jan 2010 00:00:00 +0100 3160993 http://www.medworm.com/index.php?rid=3160992&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00644.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3160992 Mon, 11 Jan 2010 00:00:00 +0100 3160992 http://www.medworm.com/index.php?rid=3160991&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00649.x The objective was to determine the risk of serious bacterial infection (SBI) among children without underlying risk factors for SBI who present to the emergency department (ED) for evaluation and have unsuspected and isolated neutropenia.Methods: This was a retrospective consecutive chart review from October 1995 through September 2003. All patients aged 0[ndash]21 years presenting to the ED of an urban tertiary children's hospital, who were documented to have neutropenia (defined as an absolute neutrophil count [ANC] of (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3160991 Mon, 11 Jan 2010 00:00:00 +0100 3160991 http://www.medworm.com/index.php?rid=3160990&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00650.x Conclusions: This simulation model of chemical vapor release demonstrates persistent presence of simulant vapor over time. This implies that chemical vapor may be released from the victims' clothing after they are evacuated from the site of exposure, resulting in additional exposure of victims and emergency responders. Insulated outerwear can release additional vapor when handled. If a patient has just moved to a vapor screening point, immediate assessment before additional vapor can be released from the clothing can lead to a false-negative assessment of contamination. (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3160990 Mon, 11 Jan 2010 00:00:00 +0100 3160990 http://www.medworm.com/index.php?rid=3160989&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00651.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3160989 Mon, 11 Jan 2010 00:00:00 +0100 3160989 http://www.medworm.com/index.php?rid=3160988&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00653.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3160988 Mon, 11 Jan 2010 00:00:00 +0100 3160988 http://www.medworm.com/index.php?rid=3160987&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00654.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3160987 Mon, 11 Jan 2010 00:00:00 +0100 3160987 http://www.medworm.com/index.php?rid=3160986&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00656.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3160986 Mon, 11 Jan 2010 00:00:00 +0100 3160986 http://www.medworm.com/index.php?rid=3160985&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00657.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3160985 Mon, 11 Jan 2010 00:00:00 +0100 3160985 http://www.medworm.com/index.php?rid=3140151&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00674.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3140151 Mon, 04 Jan 2010 00:00:00 +0100 3140151 http://www.medworm.com/index.php?rid=3140150&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00608.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3140150 Mon, 04 Jan 2010 00:00:00 +0100 3140150 http://www.medworm.com/index.php?rid=3140149&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00623.x Objectives: Despite the existence of various clinical prediction rules, no data exist defining what frequency of death or serious nonfatal outcomes comprises a realistic "low-risk" group for clinicians. This exploratory study sought to identify emergency physicians' (EPs) definition of low-risk acute decompensated heart failure (ADHF) emergency department (ED) patients.Methods: Surveys were mailed to full-time physicians (n = 88) in a multihospital EP group in southwestern Pennsylvania between December 2004 and February 2005. Participation was voluntary, and each EP was asked to define low risk (low risk of all-cause 30-day death and low risk of either hospital death or other serious medical complications) and choose a risk threshold at which they might consider outpatient management for t... Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3140149 Mon, 04 Jan 2010 00:00:00 +0100 3140149 http://www.medworm.com/index.php?rid=3140148&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00622.x Conclusions: Minimal illumination requirements in the out-of-hospital setting may be lower than previously recommended. Ambient light intensity affects this minimal illumination requirement, with brighter ambient light conditions necessitating more laryngoscope light output. Further studies assessing out-of-hospital laryngoscope illumination should consider ambient light conditions. ACADEMIC EMERGENCY MEDICINE 2010; 17:103[ndash]107 © 2010 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3140148 Mon, 04 Jan 2010 00:00:00 +0100 3140148 http://www.medworm.com/index.php?rid=3140147&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00629.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3140147 Mon, 04 Jan 2010 00:00:00 +0100 3140147 http://www.medworm.com/index.php?rid=3140146&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00618.x Conclusions: For OOH patients with chest pain, sex disparities in treatment are significant and do not appear to be explained by differences in patient age, race, or underlying cardiac risk. ACADEMIC EMERGENCY MEDICINE 2010; 17:80[ndash]87 © 2010 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3140146 Mon, 04 Jan 2010 00:00:00 +0100 3140146 http://www.medworm.com/index.php?rid=3140145&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00587.x Conclusions: "Would take again" was associated with all migraine outcome measures we examined. No individual outcome was more closely associated with "would take again" than any other. Even the best-performing alternate outcome misclassified more than 20% of subjects. However, sample sizes based on "would take again" tended to be larger than other outcome measures. On the basis of these findings and this outcome measure's inherent patient-centered focus, "would take again," included as a secondary outcome in all ED migraine trials, is proposed. ACADEMIC EMERGENCY MEDICINE 2010; 17:72[ndash]79 © 2010 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3140145 Mon, 04 Jan 2010 00:00:00 +0100 3140145 http://www.medworm.com/index.php?rid=3140144&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00615.x Conclusions: Adolescents who use A+M report greater substance use and more risk factors for substance abuse than AO-using adolescents. Screening for a history of marijuana use may be important when treating adolescents presenting with an alcohol-related event. A+M co-use may identify a high-risk population, which may have important implications for ED clinicians in the care of these patients, providing parental guidance, and planning follow-up care. ACADEMIC EMERGENCY MEDICINE 2010; 17:63[ndash]71 © 2010 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3140144 Mon, 04 Jan 2010 00:00:00 +0100 3140144 http://www.medworm.com/index.php?rid=3140143&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00621.x Conclusions: Overall patient follow-up to an FQHC was low, but increased with next-day or same-week referral. The ongoing relationship rate was low, but increased with temporal proximity of ED referral. Increased comorbidities and medication usage were significantly associated with increased initial follow-up rates, development of an ongoing relationship, and subsequent ED utilization. Patients with an ongoing relationship with the FQHC had higher ED utilization over the 2-year follow-up period, likely due to a higher rate of comorbidities. ACADEMIC EMERGENCY MEDICINE 2010; 17:55[ndash]62 © 2010 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3140143 Mon, 04 Jan 2010 00:00:00 +0100 3140143 http://www.medworm.com/index.php?rid=3140142&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00614.x Conclusions: In this study on a large cohort of patients admitted to an ED for chest pain, IMA and h-FABP did not provide valuable information for ACS diagnosis. ACADEMIC EMERGENCY MEDICINE 2010; 17:27[ndash]35 © 2010 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3140142 Mon, 04 Jan 2010 00:00:00 +0100 3140142 http://www.medworm.com/index.php?rid=3140141&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00630.x Conclusions: EDecho, particularly pulsed Doppler analysis of mitral inflow, is a rapid and accurate diagnostic tool in the evaluation of patients with acute dyspnea. ACADEMIC EMERGENCY MEDICINE 2010; 17:18[ndash]26 © 2010 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3140141 Mon, 04 Jan 2010 00:00:00 +0100 3140141 http://www.medworm.com/index.php?rid=3140140&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00628.x Conclusions: This evidence-based review suggests that bedside thoracic US is a more sensitive screening test than supine AP chest radiography for the detection of pneumothorax in adult patients with blunt chest trauma. ACADEMIC EMERGENCY MEDICINE 2010; 17:11[ndash]17 © 2010 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3140140 Mon, 04 Jan 2010 00:00:00 +0100 3140140 http://www.medworm.com/index.php?rid=3140139&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00625.x Conclusions: This systematic review failed to demonstrate a convincing in-hospital mortality benefit for using beta-blockers early in the course of patients with an acute or suspected MI. ACADEMIC EMERGENCY MEDICINE 2010; 17:1[ndash]10 © 2010 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3140139 Mon, 04 Jan 2010 00:00:00 +0100 3140139 http://www.medworm.com/index.php?rid=3140138&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00673.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3140138 Fri, 01 Jan 2010 00:00:00 +0100 3140138 http://www.medworm.com/index.php?rid=3090705&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00624.x Conclusions: Internal jugular vein cross-sectional area increases after application of a rigid cervical collar. This supports the hypothesis that venous obstruction in the neck may contribute to the increase in ICP seen after rigid collar application. ACADEMIC EMERGENCY MEDICINE 2009; 16:1[ndash]3 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3090705 Wed, 16 Dec 2009 00:00:00 +0100 3090705 http://www.medworm.com/index.php?rid=3090707&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00617.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3090707 Tue, 15 Dec 2009 00:00:00 +0100 3090707 http://www.medworm.com/index.php?rid=3090706&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00619.x Conclusions: Community-based mobile outreach was a highly effective method of contacting suicidal patients who were discharged from the ED. However, establishing initial postdischarge contact in the community versus the clinic did not prove more effective at enhancing symptomatic or functional outcomes, nor did successful linkage with outpatient psychiatric care. Overall, participants showed some improvement shortly after ED discharge regardless of outpatient clinical contact, but nonetheless remained significantly symptomatic and at risk for repeated ED presentations. ACADEMIC EMERGENCY MEDICINE 2009; 16:1[ndash]8 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3090706 Tue, 15 Dec 2009 00:00:00 +0100 3090706 http://www.medworm.com/index.php?rid=3073008&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00626.x Conclusions: For the key psychomotor elements of central venous access, the lightly embalmed cadaver with intravascular water-soluble gel infusion provided a procedural model that closely simulated clinicians' experience with patients. ACADEMIC EMERGENCY MEDICINE 2009; 16:1[ndash]5 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3073008 Thu, 10 Dec 2009 00:00:00 +0100 3073008 http://www.medworm.com/index.php?rid=3073011&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00620.x Conclusions: The VAS was found to have an excellent correlation in older children with acute pain in the ED and had a uniformly increasing relationship with WBS. This finding has implications for research on pain management using the WBS as an assessment tool. ACADEMIC EMERGENCY MEDICINE 2009; 16:1[ndash]5 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3073011 Wed, 09 Dec 2009 00:00:00 +0100 3073011 http://www.medworm.com/index.php?rid=3073010&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00627.x Conclusions: Measurements of respiratory variation in IVC collapse in healthy volunteers are equivalent at the level of the left renal vein and at 2 cm caudal to the hepatic vein inlet. Measurements taken at the junction of the right atrium and IVC are not equivalent to the other sites; clinicians should avoid measuring percentage collapse of the IVC at this location. ACADEMIC EMERGENCY MEDICINE 2009; 16:1[ndash]4 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3073010 Wed, 09 Dec 2009 00:00:00 +0100 3073010 http://www.medworm.com/index.php?rid=3073009&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00616.x Conclusions: Ingestion of caffeine less than 4 hours before a 6-mg adenosine bolus significantly reduces its effectiveness in the treatment of SVT. An increased initial adenosine dose may be indicated for these patients. ACADEMIC EMERGENCY MEDICINE 2009; 16:1[ndash]6 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=3073009 Wed, 09 Dec 2009 00:00:00 +0100 3073009 http://www.medworm.com/index.php?rid=2997243&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00579.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2997243 Tue, 17 Nov 2009 00:00:00 +0100 2997243 http://www.medworm.com/index.php?rid=2997250&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00538.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2997250 Mon, 16 Nov 2009 00:00:00 +0100 2997250 http://www.medworm.com/index.php?rid=2997249&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00573.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2997249 Mon, 16 Nov 2009 00:00:00 +0100 2997249 http://www.medworm.com/index.php?rid=2997248&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00574.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2997248 Mon, 16 Nov 2009 00:00:00 +0100 2997248 http://www.medworm.com/index.php?rid=2997247&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00575.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2997247 Mon, 16 Nov 2009 00:00:00 +0100 2997247 http://www.medworm.com/index.php?rid=2997246&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00576.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2997246 Mon, 16 Nov 2009 00:00:00 +0100 2997246 http://www.medworm.com/index.php?rid=2997245&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00577.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2997245 Mon, 16 Nov 2009 00:00:00 +0100 2997245 http://www.medworm.com/index.php?rid=2997244&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00578.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2997244 Mon, 16 Nov 2009 00:00:00 +0100 2997244 http://www.medworm.com/index.php?rid=2986592&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00568.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2986592 Fri, 13 Nov 2009 00:00:00 +0100 2986592 http://www.medworm.com/index.php?rid=2986596&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00501.x For more than a decade, emergency medicine (EM) organizations have produced guidelines, training, and leadership for disaster management. However, to date there have been limited guidelines for emergency physicians (EPs) needing to provide a rapid response to a surge in demand. The aim of this project was to identify strategies that may guide surge management in the emergency department (ED). A working group of individuals experienced in disaster medicine from the Australasian College for Emergency Medicine Disaster Medicine Subcommittee (the Australasian Surge Strategy Working Group) was established to undertake this work. The Working Group used a modified Delphi technique to examine response actions in surge situations and identified underlying assumptions from disaster epidemiology and ... Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2986596 Thu, 12 Nov 2009 00:00:00 +0100 2986596 http://www.medworm.com/index.php?rid=2986595&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00520.x Conclusions: Success was solely related to vessel characteristics detected with US and not influenced by patient characteristics or probe orientation. Successful DIVA was primarily associated with larger vessel, while vessel depth up to >1.6 cm and patient characteristics were unrelated to success. Clinically, if two vessels are identified at a depth of (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2986595 Thu, 12 Nov 2009 00:00:00 +0100 2986595 http://www.medworm.com/index.php?rid=2986594&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00526.x Conclusions: After introduction of the ICP, ED LOS decreased without an increase in hospital capacity. ACADEMIC EMERGENCY MEDICINE 2009; 16:1[ndash]7 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2986594 Thu, 12 Nov 2009 00:00:00 +0100 2986594 http://www.medworm.com/index.php?rid=2986593&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00563.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2986593 Thu, 12 Nov 2009 00:00:00 +0100 2986593 http://www.medworm.com/index.php?rid=2968772&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00562.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2968772 Sat, 07 Nov 2009 00:00:00 +0100 2968772 http://www.medworm.com/index.php?rid=2968774&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00559.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2968774 Fri, 06 Nov 2009 00:00:00 +0100 2968774 http://www.medworm.com/index.php?rid=2968773&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00560.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2968773 Fri, 06 Nov 2009 00:00:00 +0100 2968773 http://www.medworm.com/index.php?rid=2964809&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00613.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2964809 Fri, 06 Nov 2009 00:00:00 +0100 2964809 http://www.medworm.com/index.php?rid=2964813&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00561.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2964813 Thu, 05 Nov 2009 00:00:00 +0100 2964813 http://www.medworm.com/index.php?rid=2964812&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00610.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2964812 Thu, 05 Nov 2009 00:00:00 +0100 2964812 http://www.medworm.com/index.php?rid=2964811&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00611.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2964811 Thu, 05 Nov 2009 00:00:00 +0100 2964811 http://www.medworm.com/index.php?rid=2964810&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00612.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2964810 Thu, 05 Nov 2009 00:00:00 +0100 2964810 http://www.medworm.com/index.php?rid=2956301&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00569.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2956301 Wed, 04 Nov 2009 00:00:00 +0100 2956301 http://www.medworm.com/index.php?rid=2956300&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00511.x We describe an interdisciplinary initiative to use a staged US and CT pathway to maximize diagnostic accuracy while minimizing radiation exposure.Methods: This was a retrospective outcomes analysis of patients presenting after hours for suspected appendicitis at an academic children's hospital ED over a 6-year period. The pathway established US as the initial imaging modality. CT was recommended only if US was equivocal. Clinical and pathologic outcomes from ED diagnosis and disposition, histopathology and return visits, were correlated with the US and CT. ED diagnosis and disposition, pathology, and return visits were used to determine outcome.Results: A total of 680 patients met the study criteria. A total of 407 patients (60%) followed the pathway. Two-hundred of these (49%) were manage... Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2956300 Wed, 04 Nov 2009 00:00:00 +0100 2956300 http://www.medworm.com/index.php?rid=2956299&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00502.x Conclusions: Routine screening for asymptomatic AAA required substantial ED resources for a relatively low success rate of completed screens. The prevalence rate of AAA in our ED sample was not significantly different than prevalence estimates obtained from older men in the general population. ED sonographers reported benefits of screening in terms of improving the quality of emergency care and patient satisfaction, but also reported that it reduced operational efficiency. For EDs that have problems with crowding, we do not recommend implementing a routine screening program for AAA, even among high-risk patients. ACADEMIC EMERGENCY MEDICINE 2009; 16:1242[ndash]1250 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2956299 Wed, 04 Nov 2009 00:00:00 +0100 2956299 http://www.medworm.com/index.php?rid=2956298&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00516.x This article describes a limited statewide dissemination of an evidence-based technology, screening, brief intervention, and referral to treatment (SBIRT), and evaluation of the effects on emergency department (ED) systems of care, utilizing the knowledge translation framework of reach, effectiveness, adoption, implementation, and maintenance (RE-AIM), using both quantitative and qualitative data sources. Screening and brief intervention (SBI) can detect high-risk and dependent alcohol and drug use in the medical setting, provide early intervention, facilitate access to specialty treatment when appropriate, and improve quality of care. Several meta-analyses demonstrate its effectiveness in primary care, and the federal government has developed a well-funded campaign to promote physician tr... Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2956298 Wed, 04 Nov 2009 00:00:00 +0100 2956298 http://www.medworm.com/index.php?rid=2956297&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00457.x Conclusions: This instrument can help predict which victims may be at increased risk for severe injury or potentially lethal assault and can aid clinicians in differentiating which patients require comprehensive safety interventions. ACADEMIC EMERGENCY MEDICINE 2009; 16:1208[ndash]1216 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2956297 Wed, 04 Nov 2009 00:00:00 +0100 2956297 http://www.medworm.com/index.php?rid=2956296&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00513.x Conclusions: This initial evaluation of the SafERteens study shows that universal computerized screening and BI for multiple risk behaviors among adolescents is feasible, well received, and effective at altering attitudes and self-efficacy. Future evaluations of the SafERteens study will evaluate the interventions' effects on behavioral change (alcohol use and violence) over the year following the ED visit. ACADEMIC EMERGENCY MEDICINE 2009; 16:1193[ndash]1207 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2956296 Wed, 04 Nov 2009 00:00:00 +0100 2956296 http://www.medworm.com/index.php?rid=2956295&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00551.x Conclusions: This initiative successfully changed tobacco screening behavior of health care providers at all sites. It was particularly successful in the ED, typically an environment less likely to be conducive to preventive health interventions. ACADEMIC EMERGENCY MEDICINE 2009; 16:1186[ndash]1192 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2956295 Wed, 04 Nov 2009 00:00:00 +0100 2956295 http://www.medworm.com/index.php?rid=2956294&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00490.x Conclusions: A preliminary trial of SBI promoted marijuana abstinence and reduced consumption among PED patients aged 14[ndash]21 years. A no-contact condition for the NAC group over the year after enrollment was insufficient to capture enrollees for follow-up across a range of baseline acuity. ACADEMIC EMERGENCY MEDICINE 2009; 16:1174[ndash]1185 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2956294 Wed, 04 Nov 2009 00:00:00 +0100 2956294 http://www.medworm.com/index.php?rid=2956293&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00507.x The objectives were to determine attitudes and perceptions (A&P) of emergency medicine (EM) residents toward emergency department (ED) routine provider-driven rapid HIV testing services and the impact of both a focused training program (FTP) and implementation of HIV testing on A&P.Methods: A three-phase, consecutive, anonymous, identity-unlinked survey was conducted pre-FTP, post-FTP, and 6 months postimplementation. The survey was designed to assess residents' A&P using a five-point Likert scale. A preimplementation FTP provided both the rationale for the HIV testing program and the planned operational details of the intervention. The HIV testing program used only indigenous ED staff to deliver HIV testing as part of standard-of-care in an academic ED. The impact of the FTP and implement... Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2956293 Wed, 04 Nov 2009 00:00:00 +0100 2956293 http://www.medworm.com/index.php?rid=2956292&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00508.x Conclusions: The opt-out approach results in high acceptance of routine HIV screening. Widespread adoption of the CDC's recommendations, although feasible, will require significant increases in resources. ACADEMIC EMERGENCY MEDICINE 2009; 16:1156[ndash]1164 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2956292 Wed, 04 Nov 2009 00:00:00 +0100 2956292 http://www.medworm.com/index.php?rid=2956291&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00537.x Conclusions: Some ED patients can be moved, although modestly, to recognize their risk for being HIV infected by asking about their HIV risk behaviors. However, ACASI-based feedback messages about HIV risk behaviors do not increase subjects' self-perceived HIV risk. Female ED patients appear to increase their self-perceived HIV risk more than males when queried about their HIV risk behaviors. ACADEMIC EMERGENCY MEDICINE 2009; 16:1143[ndash]1155 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2956291 Wed, 04 Nov 2009 00:00:00 +0100 2956291 http://www.medworm.com/index.php?rid=2956290&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00550.x This article summarizes the work and discussions of the funding and sustainability work group at the 2009 Academic Emergency Medicine consensus conference "Public Health in the ED: Surveillance, Screening, and Intervention." The funding and sustainability session participants were asked to address the following overarching question: "What are the opportunities and what is needed to encourage academic emergency medicine (EM) to take advantage of the opportunities for funding available for public health research initiatives and build stronger academic programs focusing on public health within EM?" Prior to the session, members of the group reviewed research funding for EM in public health, as well as the priorities of federal agencies and foundations. Recommendations for actions by EM summar... Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2956290 Wed, 04 Nov 2009 00:00:00 +0100 2956290 http://www.medworm.com/index.php?rid=2956289&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00547.x This article is the outcome of a consensus building workshop entitled, "Overcoming Barriers to Implementation and Dissemination" convened at the 2009 Academic Emergency Medicine Consensus Conference, ''Public Health in the ED: Surveillance, Screening, and Intervention." The participants were asked to address potential methods for overcoming barriers to the dissemination and implementation in the emergency department (ED) of evidenced-based practices to improve public health. The panel discussed three broad areas of interest including methods for disseminating evidence-based practices, barriers encountered during the process of implementation, and the importance of involvement in activities outside the ED including engagement in policy development and improvement. Four recommendations were ... Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2956289 Wed, 04 Nov 2009 00:00:00 +0100 2956289 http://www.medworm.com/index.php?rid=2956288&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00557.x This article is the product of a breakout session from the 2009 Academic Emergency Medicine consensus conference entitled "Public Health in the ED: Screening, Surveillance, and Intervention" and serves to describe in detail aspects of performing emergency department (ED)-based public health research, while serving as a resource for current and future researchers. In doing so, the authors describe methodologic features of study design, participant selection and retention, and measurements and analyses pertinent to public health research. In addition, a number of recommendations related to research methods and future investigations related to public health work in the ED are provided. Public health investigators are poised to make substantial contributions to this important area of research,... Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2956288 Wed, 04 Nov 2009 00:00:00 +0100 2956288 http://www.medworm.com/index.php?rid=2956287&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00543.x This article provides recommendations for incorporating conceptual models of health behavior change into research conducted in emergency care settings. The authors drafted a set of preliminary recommendations, which were reviewed and discussed by a panel of experienced investigators attending the 2009 Academic Emergency Medicine consensus conference. The original recommendations were expanded and refined based on their input. This article reports the final recommendations. Three recommendations were made: 1) research conducted in emergency care settings that focuses on health behaviors should be grounded in formal conceptual models, 2) investigators should clearly operationalize their outcomes of interest, and 3) expected relations between theoretical constructs and outcomes should be made... Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2956287 Wed, 04 Nov 2009 00:00:00 +0100 2956287 http://www.medworm.com/index.php?rid=2956286&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00545.x The burden of mental illness is profound and growing. Coupled with large gaps in extant psychiatric services, this mental health burden has often forced emergency departments (EDs) to become the de facto primary and acute care provider of mental health care in the United States. An expanded emergency medical and mental health research agenda is required to meet the need for improved education, screening, surveillance, and ED-initiated interventions for mental health problems. As an increasing fraction of undiagnosed and untreated psychiatric patients passes through the revolving doors of U.S. EDs, the opportunities for improving the art and science of acute mental health care have never been greater. These opportunities span macroepidemiologic surveillance research to intervention studies ... Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2956286 Wed, 04 Nov 2009 00:00:00 +0100 2956286 http://www.medworm.com/index.php?rid=2956285&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00554.x This article represents the proceedings from that session, primarily focusing on emergency department (ED)-related data sets and includes examples of the use of a data set based on ED visits for research purposes. It discusses types of ED-related data sets available, highlights barriers to research use of ED-related data sets, and notes limitations of these data sets. The paper highlights future directions and challenges to using these important sources of data for research, including identification of five main needs related to enhancing the use of ED-related data sets. These are 1) electronic linkage of initial and follow-up ED visits and linkage of information about ED visits to other outcomes, including costs of care, while maintaining deidentification of the data; 2) timely data acces... Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2956285 Wed, 04 Nov 2009 00:00:00 +0100 2956285 http://www.medworm.com/index.php?rid=2956284&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00546.x This article describes the results of the human immunodeficiency virus (HIV) and sexually transmitted infections (STI) prevention in the emergency department (ED) component of the 2009 Academic Emergency Medicine Consensus Conference entitled "Public Health in the ED: Surveillance, Screening, and Intervention." The objectives were to use experts to define knowledge gaps and priority research questions related to the performance of HIV and STI surveillance, screening, and intervention in the ED. A four-step nominal group technique was applied using national and international experts in HIV and STI prevention. Using electronic mail, an in-person meeting, and a Web-based survey, specific knowledge gaps and research questions were identified and prioritized. Through two rounds of nomination an... Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2956284 Wed, 04 Nov 2009 00:00:00 +0100 2956284 http://www.medworm.com/index.php?rid=2956283&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00544.x The 2009 Academic Emergency Medicine Consensus Conference working group session participants developed recommendations and research questions for violence prevention in the emergency department (ED). A writing group devised a working draft prior to the meeting and presented this to the breakout session at the consensus conference for input and approval. The recommendations include: 1) promote and facilitate the collection of standardized information related to violence victimization and perpetration in ED settings; 2) develop and validate brief practical screening instruments that can identify those at risk for perpetration of violence toward others or toward self; 3) develop and validate brief practical screening instruments that can identify victims at risk for violent reinjury and menta... Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2956283 Wed, 04 Nov 2009 00:00:00 +0100 2956283 http://www.medworm.com/index.php?rid=2956282&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00552.x This article is a product of a breakout session on injury prevention from the 2009 Academic Emergency Medicine consensus conference on "Public Health in the ED: Screening, Surveillance, and Intervention." The emergency department (ED) is an important entry portal into the medical care system. Given the epidemiology of substance use among ED patients, the delivery of effective brief interventions (BIs) for alcohol, drug, and tobacco use in the ED has the potential to have a large public health impact. To date, the results of randomized controlled trials of interventional studies in the ED setting for substance use have been mixed in regard to alcohol and understudied in the area of tobacco and other drugs. As a result, there are more questions remaining than answered. The work group develop... Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2956282 Wed, 04 Nov 2009 00:00:00 +0100 2956282 http://www.medworm.com/index.php?rid=2956281&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00549.x This article summarizes a panel discussion on "SBIRT in the emergency care setting: are we ready to take it to scale?" Dr. Edward Bernstein commented on the historical developments of emergency department (ED) screening, brief intervention (BI), and referral to treatment (SBIRT) research, practice, and knowledge translation. Dr. Jack Stein addressed SBIRT grant program progress to date, the reimbursement stream, SBIRT lessons learned, and unanswered questions. Dr. Richard Saitz reviewed the limitations of the evidence for alcohol and drug ED screening and BI and cautioned on the danger of proceeding to practice and broad dissemination without evidenced based on randomized controlled trials with sufficient sample size and clinically important outcomes. ACADEMIC EMERGENCY MEDICINE 2009; 16:1... Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2956281 Wed, 04 Nov 2009 00:00:00 +0100 2956281 http://www.medworm.com/index.php?rid=2956280&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00555.x The emergency department (ED) visit provides an opportunity to impact the health of the public throughout the entire spectrum of care, from prevention to treatment. As the federal government has a vested interest in funding research and providing programmatic opportunities that promote the health of the public, emergency medicine (EM) is prime to develop a research agenda to advance the field. EM researchers need to be aware of federal funding opportunities, which entails an understanding of the organizational structure of the federal agencies that fund medical research, and the rules and regulations governing applications for grants. Additionally, there are numerous funding streams outside of the National Institutes of Health (NIH; the primary federal health research agency). EM researche... Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2956280 Wed, 04 Nov 2009 00:00:00 +0100 2956280 http://www.medworm.com/index.php?rid=2956279&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00567.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2956279 Wed, 04 Nov 2009 00:00:00 +0100 2956279 http://www.medworm.com/index.php?rid=2956278&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00564.x This article reviews the epidemiology and clinical impact of risky health behaviors on ED visits and suggests strategies for creating a research agenda in these areas. ACADEMIC EMERGENCY MEDICINE 2009; 16:1054[ndash]1059 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2956278 Wed, 04 Nov 2009 00:00:00 +0100 2956278 http://www.medworm.com/index.php?rid=2956277&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00553.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2956277 Wed, 04 Nov 2009 00:00:00 +0100 2956277 http://www.medworm.com/index.php?rid=2956276&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00556.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2956276 Wed, 04 Nov 2009 00:00:00 +0100 2956276 http://www.medworm.com/index.php?rid=2956275&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00541.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2956275 Wed, 04 Nov 2009 00:00:00 +0100 2956275 http://www.medworm.com/index.php?rid=2910171&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00512.x Asymptomatic hypertension (HTN) is commonly encountered in the emergency department (ED), but in most circumstances little is done about it. While many factors may contribute to this, the failure to recognize asymptomatic HTN as a public health problem is particularly important. Given the established long-term consequences of elevated blood pressure (BP), a reconsideration of methods that could enhance surveillance and intervention in the ED is needed. In this article, we discuss the relevant epidemiology of asymptomatic HTN and present a novel approach using a modified version of the Haddon's matrix to systematically address the challenges that contribute to ineffective screening and suboptimal outcomes. ACADEMIC EMERGENCY MEDICINE 2009; 16:1[ndash]7 © 2009 by the Society for Academic Em... Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2910171 Tue, 20 Oct 2009 23:00:00 +0100 2910171 http://www.medworm.com/index.php?rid=2910172&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00500.x Conclusions: The suicide risk screen showed evidence of concurrent validity. It also demonstrated utility in identifying 1) adolescents at elevated risk for suicide who presented to the ED with unrelated medical concerns and 2) a subgroup of adolescents who may be at highly elevated risk for suicide due to the combination of depression, alcohol abuse, suicidality, and impulsivity. ACADEMIC EMERGENCY MEDICINE 2009; 16:1[ndash]8 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2910172 Mon, 19 Oct 2009 23:00:00 +0100 2910172 http://www.medworm.com/index.php?rid=2873529&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00491.x Conclusions: The previously reported finding that ED patients who received a brief motivation interview reported higher SBU scores at 3 months compared to a CG was sustained at 6-month follow-up. Although limited by self-report, a brief intervention may enhance lasting SBU behavior among high-risk ED patients. ACADEMIC EMERGENCY MEDICINE 2009; 16:1[ndash]4 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2873529 Thu, 08 Oct 2009 23:00:00 +0100 2873529 http://www.medworm.com/index.php?rid=2873530&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00482.x Conclusions: This study demonstrates the feasibility of an ED[ndash]PHD partnership for chlamydia screening in young women. This model can potentially be applied to other initiatives and may improve public health screening without creating significant additional burdens for crowded EDs. ACADEMIC EMERGENCY MEDICINE 2009; 16:1[ndash]4 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2873530 Wed, 07 Oct 2009 23:00:00 +0100 2873530 http://www.medworm.com/index.php?rid=2956274&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00548.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2956274 Thu, 01 Oct 2009 00:00:00 +0100 2956274 http://www.medworm.com/index.php?rid=2798304&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00529.x This article summarizes comments made at the meeting and develops the argument that expertise in health policy and political advocacy are valuable skills that should be considered legitimate components of scholarly activity in academic emergency medicine. Strategies for effective advocacy of issues relevant to emergency medicine and emergency patient care are also discussed. ACADEMIC EMERGENCY MEDICINE 2009; 16:1[ndash]6 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2798304 Tue, 15 Sep 2009 23:00:00 +0100 2798304 http://www.medworm.com/index.php?rid=2798305&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00493.x The objectives were to determine if an emergency department (ED) could improve the adherence to a door-to-electrocardiogram (ECG) time goal of 10 minutes or less for patients who presented to an ED with chest pain and the effect of this adherence on door-to-balloon (DTB) time for ST-segment elevation myocardial infarction (STEMI) cardiac catheterization (cath) alert patients.Methods: This was a planned 1-month before-and-after interventional study design for implementing a new process for obtaining ECGs in patients presenting to the study ED with chest pain. Prior to the change, patients were registered and triaged before an ECG was obtained. The new procedure required registration clerks to identify those with chest pain and directly overhead page or call a designated ECG technician. This... Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2798305 Mon, 14 Sep 2009 23:00:00 +0100 2798305 http://www.medworm.com/index.php?rid=2763632&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00528.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2763632 Thu, 03 Sep 2009 23:00:00 +0100 2763632 http://www.medworm.com/index.php?rid=2763635&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00497.x Conclusions: The outflow of the left ventricle is affected during standard CPR, resulting in varying degrees of narrowing in the LVOT and/or the aortic root. ACADEMIC EMERGENCY MEDICINE 2009; 16:1[ndash]6 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2763635 Wed, 02 Sep 2009 23:00:00 +0100 2763635 http://www.medworm.com/index.php?rid=2763634&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00525.x Research networks can enable the inclusion of large, diverse patient populations in different settings. However, the optimal measures of a research network's failure or success are not well defined or standardized. To define a framework for metrics used to measure the performance and effectiveness of emergency care research networks (ECRN), a conference for emergency care investigators, funding agencies, patient advocacy groups, and other stakeholders was held and yielded the following major recommendations: 1) ECRN metrics should be measurable, explicitly defined, and customizable for the multiple stakeholders involved and 2) continuing to develop and institute metrics to evaluate ECRNs will be critical for their accountability and sustainability. ACADEMIC EMERGENCY MEDICINE 2009; 16:1[nd... Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2763634 Wed, 02 Sep 2009 23:00:00 +0100 2763634 http://www.medworm.com/index.php?rid=2763633&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00527.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2763633 Wed, 02 Sep 2009 23:00:00 +0100 2763633 http://www.medworm.com/index.php?rid=2749060&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00509.x Conclusions: The supply and demand of EM board-certified EPs varies by state. Only one state had an adequate supply of EM board-certified EPs to fully staff its EDs. ACADEMIC EMERGENCY MEDICINE 2009; 16:1[ndash]5 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2749060 Mon, 31 Aug 2009 23:00:00 +0100 2749060 http://www.medworm.com/index.php?rid=2749061&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00481.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2749061 Sun, 30 Aug 2009 23:00:00 +0100 2749061 http://www.medworm.com/index.php?rid=2710423&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00506.x This article proposes the content, educational strategy, and needs assessment for an academic program entitled The Business of Emergency Medicine (BOEM). Developed as an adjunct to the (predominantly) clinical content of traditional emergency medicine (EM) training programs, BOEM is designed to enhance the existing academic curricula with additional learning opportunities by which EM residents can acquire a fundamental understanding of the nonclinical skills of their specialty. Academic Emergency Medicine 2009; 16:1[ndash]8 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2710423 Tue, 18 Aug 2009 23:00:00 +0100 2710423 http://www.medworm.com/index.php?rid=2710424&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00486.x Conclusions: The discriminative power (AUC) of individual clinical features and laboratory test results for appendicitis was weak in patients with suspected appendicitis. Combinations of clinical features and laboratory tests with high diagnostic accuracy are relatively infrequent in patients with suspected appendicitis. ACADEMIC EMERGENCY MEDICINE 2009; 16:1[ndash]8 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2710424 Mon, 17 Aug 2009 23:00:00 +0100 2710424 http://www.medworm.com/index.php?rid=2686112&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00510.x Conclusions: Implementing USPs in the ED is feasible and acceptable to staff. The unpredictability of the ED, specifically resident schedules, accounted for most incomplete encounters. USPs may represent a new way to assess real-time resident physician performance without the need for faculty resources or the bias introduced by direct observation. ACADEMIC EMERGENCY MEDICINE 2009; 16:1[ndash]4 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2686112 Mon, 10 Aug 2009 23:00:00 +0100 2686112 http://www.medworm.com/index.php?rid=2686119&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00472.x Conclusions: Referral of potential organ donors from the ED is associated with an increased likelihood of successful organ retrieval. The authors conclude that further attention and resources should be directed toward the role of emergency medicine (EM) in the organ procurement process, owing to the relatively high likelihood of successful organ retrieval among patients referred from the ED. ACADEMIC EMERGENCY MEDICINE 2009; 16:1[ndash]9 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2686119 Sun, 09 Aug 2009 23:00:00 +0100 2686119 http://www.medworm.com/index.php?rid=2686118&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00480.x Conclusions: In the pediatric ED of a teaching hospital, ED LOS is on average 9% higher in patients seen by trainees. In an era of increasing efforts to accelerate throughput while training future providers, these findings provide an important metric for the delivery of pediatric emergency care. ACADEMIC EMERGENCY MEDICINE 2009; 16:1[ndash]7 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2686118 Sun, 09 Aug 2009 23:00:00 +0100 2686118 http://www.medworm.com/index.php?rid=2686117&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00495.x Conclusions: Hypothermia at 31°C can protect cardiomyocytes against oxidative stress[ndash]induced injury by decreasing apoptosis and mitochondrial dysfunction through intracellular ROS-dependent pathways. ACADEMIC EMERGENCY MEDICINE 2009; 16:1[ndash]9 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2686117 Sun, 09 Aug 2009 23:00:00 +0100 2686117 http://www.medworm.com/index.php?rid=2686116&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00496.x Conclusions: There was a wide range of changes in pain scores from this identical painful stimulus after receiving the study medications. Acetaminophen and acetaminophen/hydrocodone resulted in a similar decrease in pain (10.2 and 9.5%), while ibuprofen and placebo had a similar lack of effect ([minus]6.6 and [minus]6.9%). Forty-four percent of subjects receiving acetaminophen/hydrocodone reported mild side effects; no other side effects were seen. In this noninflammatory pain model, the VAS is not able to distinguish differences in pain relief between acetaminophen and acetaminophen/hydrocodone or ibuprofen and placebo. ACADEMIC EMERGENCY MEDICINE 2009; 16:1[ndash]4 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2686116 Sun, 09 Aug 2009 23:00:00 +0100 2686116 http://www.medworm.com/index.php?rid=2686115&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00498.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2686115 Sun, 09 Aug 2009 23:00:00 +0100 2686115 http://www.medworm.com/index.php?rid=2686114&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00503.x Conclusions: Dual training in EM-IM affords a great deal of career opportunities, particularly in academics and clinical practice, in a number of environments. Graduates hold their training in high esteem and would do it again if given the opportunity. ACADEMIC EMERGENCY MEDICINE 2009; 16:1[ndash]6 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2686114 Sun, 09 Aug 2009 23:00:00 +0100 2686114 http://www.medworm.com/index.php?rid=2686113&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00504.x Conclusions: Both EMT-B examination score and ength of EMT-B certification are associated with success on first attempt at the cognitive portion of the national paramedic certification exam. Educators may wish to consider these two factors when determining paramedic program admission standards and/or consider these variables when determining how to allocate program resources. Academic Emergency Medicine 2009; 16:1[ndash]6 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2686113 Sun, 09 Aug 2009 23:00:00 +0100 2686113 http://www.medworm.com/index.php?rid=2676120&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00492.x Conclusions: Rates of successful intubation on first attempt were not significantly different between video and direct laryngoscopy. However, intubation using video laryngoscopy required significantly more time to complete. ACADEMIC EMERGENCY MEDICINE 2009; 16:1[ndash]6 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2676120 Thu, 06 Aug 2009 23:00:00 +0100 2676120 http://www.medworm.com/index.php?rid=2676122&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00485.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2676122 Wed, 05 Aug 2009 23:00:00 +0100 2676122 http://www.medworm.com/index.php?rid=2676121&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00483.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2676121 Wed, 05 Aug 2009 23:00:00 +0100 2676121 http://www.medworm.com/index.php?rid=2599618&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00471.x Conclusions: This study found similar performance of acetaminophen[ndash]codeine and ibuprofen in analgesic effectiveness among ED patients aged 5[ndash]17 years with acute traumatic extremity pain. Both drugs provided measurable analgesia. Patients tolerated them well, with few treatment failures and minimal adverse effects. ACADEMIC EMERGENCY MEDICINE 2009; 16:1[ndash]6 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2599618 Tue, 14 Jul 2009 23:00:00 +0100 2599618 http://www.medworm.com/index.php?rid=2599619&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00465.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2599619 Mon, 13 Jul 2009 23:00:00 +0100 2599619 http://www.medworm.com/index.php?rid=2589722&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00478.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2589722 Fri, 10 Jul 2009 23:00:00 +0100 2589722 http://www.medworm.com/index.php?rid=2589726&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00458.x Conclusions: A 5-second exposure of a TASER following vigorous exercise to healthy law enforcement personnel does not result in clinically significant changes in ventilatory or blood parameters of physiologic stress. Academic Emergency Medicine 2009; 16:1[ndash]7 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2589726 Thu, 09 Jul 2009 23:00:00 +0100 2589726 http://www.medworm.com/index.php?rid=2589725&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00459.x Conclusions: Low- to intermediate-risk patients with a Thrombosis In Myocardial Infarction (TIMI) score of 0 to 2 who present to the ED with potential ACS and have a negative coronary CTA have a very low likelihood of cardiovascular events over the ensuing year. ACADEMIC EMERGENCY MEDICINE 2009; 16:1[ndash]6 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2589725 Thu, 09 Jul 2009 23:00:00 +0100 2589725 http://www.medworm.com/index.php?rid=2589724&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00460.x This article will review the current federal guidelines that affect the physician[ndash]industry relationship and highlight several illustrative cases to show how the potential for abuse can subvert this relationship. The recommendations and "safe harbors" that have been designed to guide business relationships in health care are discussed. ACADEMIC EMERGENCY MEDICINE 2009; 16:1[ndash]6 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2589724 Thu, 09 Jul 2009 23:00:00 +0100 2589724 http://www.medworm.com/index.php?rid=2589723&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00468.x Conclusions: Bacteremic patients in the ED have a high mortality, particularly with these risk factors. It is important for physicians to recognize the factors that potentially contribute to mortality of bacteremic patients in the ED. ACADEMIC EMERGENCY MEDICINE 2009; 16:1[ndash]7 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2589723 Thu, 09 Jul 2009 23:00:00 +0100 2589723 http://www.medworm.com/index.php?rid=2585860&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00473.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2585860 Thu, 09 Jul 2009 23:00:00 +0100 2585860 http://www.medworm.com/index.php?rid=2574357&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00476.x Conclusions: Compared to nondiabetic rats, diabetic rats suffered a greater blood loss after the same uncontrolled vascular injury. (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2574357 Mon, 06 Jul 2009 23:00:00 +0100 2574357 http://www.medworm.com/index.php?rid=2564806&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00475.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2564806 Sat, 04 Jul 2009 23:00:00 +0100 2564806 http://www.medworm.com/index.php?rid=2564812&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00463.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2564812 Wed, 01 Jul 2009 23:00:00 +0100 2564812 http://www.medworm.com/index.php?rid=2564811&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00464.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2564811 Wed, 01 Jul 2009 23:00:00 +0100 2564811 http://www.medworm.com/index.php?rid=2564810&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00466.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2564810 Wed, 01 Jul 2009 23:00:00 +0100 2564810 http://www.medworm.com/index.php?rid=2564809&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00461.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2564809 Wed, 01 Jul 2009 23:00:00 +0100 2564809 http://www.medworm.com/index.php?rid=2564808&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00462.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2564808 Wed, 01 Jul 2009 23:00:00 +0100 2564808 http://www.medworm.com/index.php?rid=2564807&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00474.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2564807 Wed, 01 Jul 2009 23:00:00 +0100 2564807 http://www.medworm.com/index.php?rid=2554178&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.0451c.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2554178 Mon, 29 Jun 2009 23:00:00 +0100 2554178 http://www.medworm.com/index.php?rid=2554180&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.0451b.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2554180 Sun, 28 Jun 2009 23:00:00 +0100 2554180 http://www.medworm.com/index.php?rid=2554179&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.0451.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2554179 Sun, 28 Jun 2009 23:00:00 +0100 2554179 http://www.medworm.com/index.php?rid=2489212&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00456.x Conclusions: There was an association between some measures of ED crowding and a higher risk of adverse cardiovascular outcomes in patients with both ACS-related and non[ndash]ACS-related chest pain syndrome. ACADEMIC EMERGENCY MEDICINE 2009; 16:1[ndash]9 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2489212 Wed, 24 Jun 2009 23:00:00 +0100 2489212 http://www.medworm.com/index.php?rid=2489220&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00441.x Conclusions: Emergency department crowding is associated with delays in analgesic treatment from the time of triage in patients presenting with acute abdominal pain. ACADEMIC EMERGENCY MEDICINE 2009; 16:1[ndash]6 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2489220 Sun, 21 Jun 2009 23:00:00 +0100 2489220 http://www.medworm.com/index.php?rid=2489219&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00443.x Conclusions: Acute decreases in myocardial flow secondary to cocaine, and cocaine and ethanol in combination, were similar and temporally associated with cocaine's direct myocardial-depressant effects. Rebound increases in myocardial function and blood flow due to cocaine were attenuated by ethanol. Delayed myocardial depression and decreases in myocardial blood flow were observed only with coadministration of cocaine and ethanol. ACADEMIC EMERGENCY MEDICINE 2009; 16:1[ndash]10 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2489219 Sun, 21 Jun 2009 23:00:00 +0100 2489219 http://www.medworm.com/index.php?rid=2489218&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00445.x Conclusions: The PAS is a useful tool in the evaluation of children with possible appendicitis. Scores of [le]4 help rule out appendicitis, while scores of [ge]8 help predict appendicitis. Patients with a PAS of 5[ndash]7 may need further radiologic evaluation. ACADEMIC EMERGENCY MEDICINE 2009; 18:1[ndash]6 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2489218 Sun, 21 Jun 2009 23:00:00 +0100 2489218 http://www.medworm.com/index.php?rid=2489217&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00446.x Conclusions: Mortality models that incorporate additional injury coding schemes perform better than those based on ICD-9 codes alone in the setting of pediatric trauma. Combining injury coding schemes may be an effective approach for improving the predictive performance of empirically derived estimates of injury mortality. ACADEMIC EMERGENCY MEDICINE 2009; 16:1[ndash]7 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2489217 Sun, 21 Jun 2009 23:00:00 +0100 2489217 http://www.medworm.com/index.php?rid=2489216&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00447.x Conclusions: Determining an ROI is a required procedure for any business plan for establishing an ED US program. Our analysis demonstrates that an ED US program that captures charges for trauma and procedural US and achieves the potential billing volume breaks even in less than 5 years, at which point it would generate a positive margin. ACADEMIC EMERGENCY MEDICINE 2009; 16:1[ndash]7 © 2009 by the Society for Academic Emergency Medicine (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2489216 Sun, 21 Jun 2009 23:00:00 +0100 2489216 http://www.medworm.com/index.php?rid=2489215&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00448.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2489215 Sun, 21 Jun 2009 23:00:00 +0100 2489215 http://www.medworm.com/index.php?rid=2489214&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00449.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2489214 Sun, 21 Jun 2009 23:00:00 +0100 2489214 http://www.medworm.com/index.php?rid=2489213&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00452.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2489213 Sun, 21 Jun 2009 23:00:00 +0100 2489213 http://www.medworm.com/index.php?rid=2477755&cid=s_36972_14_f&fid=36972&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1553-2712.2009.00453.x (Source: Academic Emergency Medicine) Academic Emergency Medicine journals http://www.medworm.com/rss/comments.php?id=2477755 Tue, 16 Jun 2009 04:00:00 +0100 2477755