Hot Off the Press: A Systematic Review And Meta ‐analysis of Ketamine as an Alternative to Opioids for Acute Pain in the Emergency Department
AbstractKetamine has been studied as an alternative to opioids for acute pain in the emergency department setting. This review compares the effectives of intravenous ketamine at a dose of <0.5mg/kg to opioids for acute pain in adult patients. Measurements were taken within 60 minutes of administration. Ketamine was found to have similar effectiveness to opioids. Increased, but short‐lived, side effects were seen with ketamine. (Source: Academic Emergency Medicine)
Source: Academic Emergency Medicine - November 27, 2018 Category: Emergency Medicine Authors: Corey Heitz,
Justin Morgenstern,
Christopher Bond,
William K. Milne,
Esther K. Choo Tags: Hot Off the Press Source Type: research
The 2018 Academic Emergency Medicine Consensus Conference: Aligning the Pediatric Emergency Medicine Research Agenda to Reduce Health Outcome Gaps
This article is protected by copyright. All rights reserved. (Source: Academic Emergency Medicine)
Source: Academic Emergency Medicine - November 21, 2018 Category: Emergency Medicine Authors: Paul Ishimine,
Kathleen Adelgais,
Isabel Barata,
Jean Klig,
Maybelle Kou,
Prashant Mahajan,
Chris Merritt,
Michael J. Stoner,
Robert Cloutier,
Rakesh Mistry,
Kurt R. Denninghoff Tags: Consensus Conference Source Type: research
Vaccines for Preventing Influenza in Healthy Individuals
This article is protected by copyright. All rights reserved. (Source: Academic Emergency Medicine)
Source: Academic Emergency Medicine - November 21, 2018 Category: Emergency Medicine Authors: Sally Liang Tags: The Brass Tacks: Concise reviews of published evidence Source Type: research
Re: SAEM Annual Meeting Abstracts
Academic Emergency Medicine, EarlyView. (Source: Academic Emergency Medicine)
Source: Academic Emergency Medicine - November 20, 2018 Category: Emergency Medicine Tags: Erratum Source Type: research
Aortic Dissection Detection Risk Score: A Clinical Decision Rule That Needs Some Parenting
Academic Emergency Medicine, EarlyView. (Source: Academic Emergency Medicine)
Source: Academic Emergency Medicine - November 20, 2018 Category: Emergency Medicine Authors: Jeffery M. Hill,
Timothy G. Murphy,
Gregory J. Fermann,
John H. Burton Tags: Commentary —Invited Source Type: research
What Is the Specificity of the Aortic Dissection Detection Risk Score in a Low ‐prevalence Population?
ConclusionsOur study confirms that in North America the prevalence of AAS in those undergoing advanced imaging is low. The ADD ‐RS in this population has a low specificity. A lack of defined inclusion criteria and a low specificity limits the application of this rule in practice. (Source: Academic Emergency Medicine)
Source: Academic Emergency Medicine - November 20, 2018 Category: Emergency Medicine Authors: Robert Ohle,
Omar Anjum,
Helena Bleeker,
Sarah McIsaac,
Brian C. Hiestand Tags: Original Contribution Source Type: research
Randomized Clinical Trial of Intravenous Acetaminophen as an Analgesic Adjunct for Older Adults With Acute Severe Pain
ConclusionIn this randomized clinical trial, the addition of IV acetaminophen to IV hydromorphone as an adjunctive analgesic for acute, severe, pain in older adults provided neither clinically nor statistically superior pain relief when compared to hydromorphone alone within the first hour of treatment. (Source: Academic Emergency Medicine)
Source: Academic Emergency Medicine - November 20, 2018 Category: Emergency Medicine Authors: Andrew K. Chang,
Polly E. Bijur,
Ashar Ata,
Caron Campbell,
Scott Pearlman,
Deborah White,
Andrew Chertoff,
Andrew Restivo,
E. John Gallagher,
James Miner Tags: Original Contribution Source Type: research
Prospective validation of a checklist to predict short ‐term death in older patients after emergency department admission in Australia and Ireland
ConclusionsThe modified CriSTAL tool (with CFS instead of Fried's frailty instrument) had good discriminant power to improve certainty of short ‐term mortality prediction in both health systems. The predictive ability of models is anticipated to help clinicians gain confidence in initiating earlier end‐of‐life discussions. The practicalities of embedding screening for risk of death in routine practice warrant further investigation.This article is protected by copyright. All rights reserved. (Source: Academic Emergency Medicine)
Source: Academic Emergency Medicine - November 14, 2018 Category: Emergency Medicine Authors: Magnolia Cardona,
Michael O'Sullivan,
Ebony T Lewis,
Robin M Turner,
Frances Garden,
Hatem Alkhouri,
Stephen Asha,
John Mackenzie,
Margaret Perkins,
Sam Suri,
Anna Holdgate,
Luis Winoto,
David C.W. Chang,
Blanca Gallego ‐Luxan,
Sally Mccar Tags: Original Contribution Source Type: research
Reduction of Computed Tomography Use for Pediatric Closed Head Injury Evaluation at a Non ‐pediatric Community Emergency Department
ConclusionImplementation of the PECARN ‐based Pediatric Closed Head Injury Assesstment Tool reduced head CT use in a non‐pediatric ED. The greatest impact was seen among children aged ≥24 months at very low risk for ciTBI.This article is protected by copyright. All rights reserved. (Source: Academic Emergency Medicine)
Source: Academic Emergency Medicine - November 14, 2018 Category: Emergency Medicine Authors: Melissa S. Puffenbarger,
Fahd A. Ahmad,
Michelle Argent,
Hongjie Gu,
Charles Samson,
Kimberly S. Quayle,
Jacqueline M. Saito Tags: Original Contribution Source Type: research
Inter ‐rater Reliability of the HEART Score
ConclusionsOur study demonstrates there is substantial inter ‐rater reliability among emergency department physicians in identifying patients at low risk of acute coronary syndrome using the HEART score.This article is protected by copyright. All rights reserved. (Source: Academic Emergency Medicine)
Source: Academic Emergency Medicine - November 14, 2018 Category: Emergency Medicine Authors: Colin A. Gershon,
Annick N. Yagapen,
Amber Lin,
David Yanez,
Benjamin C. Sun Tags: Research Letter Source Type: research
Reducing prognostic uncertainty in older patients with a checklist for use in emergency departments: a prospective validation study
ConclusionsThe modified CriSTAL tool (with CFS instead of Fried's frailty instrument) had good discriminant power to improve certainty of short ‐term mortality prediction in both health systems. The predictive ability of models is anticipated to help clinicians gain confidence in initiating earlier end‐of‐life discussions. The practicalities of embedding screening for risk of death in routine practice warrant further investigation.This article is protected by copyright. All rights reserved. (Source: Academic Emergency Medicine)
Source: Academic Emergency Medicine - November 14, 2018 Category: Emergency Medicine Authors: Magnolia Cardona,
Michael O'Sullivan,
Ebony T Lewis,
Robin M Turner,
Frances Garden,
Hatem Alkhouri,
Stephen Asha,
John Mackenzie,
Margaret Perkins,
Sam Suri,
Anna Holdgate,
Luis Winoto,
David C.W. Chang,
Blanca Gallego ‐Luxan,
Sally Mccar Tags: Original Contribution Source Type: research
Long ‐term Mortality in Pediatric Firearm Assault Survivors : A Multicenter, Retrospective, Comparative Cohort Study
ConclusionChildren and adolescents who survive assault, including by firearm, have increased long ‐term mortality compared to those who survive unintentional, nonviolent trauma. (Source: Academic Emergency Medicine)
Source: Academic Emergency Medicine - November 13, 2018 Category: Emergency Medicine Authors: Ashkon Shaahinfar,
Irene H. Yen,
Harrison J. Alter,
Ginny Gildengorin,
Sun ‐Ming J. Pan,
James M. Betts,
Jahan Fahimi,
Robert Cloutier Tags: Consensus Conference Source Type: research
Antiviral Medications for the Prevention of Post Herpetic Neuralgia after Herpes Zoster Infection
This article is protected by copyright. All rights reserved. (Source: Academic Emergency Medicine)
Source: Academic Emergency Medicine - November 12, 2018 Category: Emergency Medicine Authors: Daniel S. Kowalsky,
Allan B. Wolfson Tags: The Brass Tacks: Concise reviews of published evidence Source Type: research
Corticosteroids for Preventing Post Herpetic Neuralgia after Herpes Zoster Infection
This article is protected by copyright. All rights reserved. (Source: Academic Emergency Medicine)
Source: Academic Emergency Medicine - November 12, 2018 Category: Emergency Medicine Authors: Daniel S. Kowalsky,
Allan B. Wolfson Tags: The Brass Tacks: Concise reviews of published evidence Source Type: research
Topical Antibiotics for Clinical and Microbiological Cure of Bacterial Conjunctivitis
This article is protected by copyright. All rights reserved. (Source: Academic Emergency Medicine)
Source: Academic Emergency Medicine - November 12, 2018 Category: Emergency Medicine Authors: Daniel S. Kowalsky,
Allan B. Wolfson Tags: The Brass Tacks: Concise reviews of published evidence Source Type: research
