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Intraarticular Injection and Closed Glenohumeral Reduction with Emergency Ultrasound.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19912129 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - November 12, 2009 Category: Emergency Medicine Authors: Stone MB, Sutijono D Tags: Acad Emerg Med Source Type: journals

Ten Signs That You Are an Emergency Medicine Parent.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19912130 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - November 12, 2009 Category: Emergency Medicine Authors: Ryan LM Tags: Acad Emerg Med Source Type: journals

Effect of an Independent-capacity Protocol on Overcrowding in an Urban Emergency Department.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: After introduction of the ICP, ED LOS decreased without an increase in hospital capacity. ACADEMIC EMERGENCY MEDICINE 2009; 16:1-7 (c) 2009 by the Society for Academic Emergency Medicine. PMID: 19912131 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - November 12, 2009 Category: Emergency Medicine Authors: Cha WC, Shin SD, Song KJ, Jung SK, Suh GJ Tags: Acad Emerg Med Source Type: journals

What You See (Sonographically) Is What You Get: Vein and Patient Characteristics Associated With Successful Ultrasound-guided Peripheral Intravenous Placement in Patients With Difficult Access.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 <1.6 cm, the larger diameter vessel, even if comparatively deeper, should yield the greatest likelihood of success. ACADEMIC EMERGENCY MEDICINE 2009; 16:1-6 (c) 2009 by the Society for Academic Emergency Medicine. PMID: 19912132 [PubMed - as supplied by publisher]...
Source: Accident and Emergency Nursing - November 12, 2009 Category: Emergency Medicine Authors: Panebianco NL, Fredette JM, Szyld D, Sagalyn EB, Pines JM, Dean AJ Tags: Acad Emerg Med Source Type: journals

Emergency Department Surge Capacity: Recommendations of the Australasian Surge Strategy Working Group.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract 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 undert...
Source: Accident and Emergency Nursing - November 12, 2009 Category: Emergency Medicine Authors: Bradt DA, Aitken P, Fitzgerald G, Swift R, O'Reilly G, Bartley B Tags: Acad Emerg Med Source Type: journals

In Reply: Reflecting on Definite Control of Probable Pain.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19895628 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - November 6, 2009 Category: Emergency Medicine Authors: Veysman BD Tags: Acad Emerg Med Source Type: journals

Painting a Rosie Picture.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19895629 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - November 6, 2009 Category: Emergency Medicine Authors: Singer J Tags: Acad Emerg Med Source Type: journals

Reflecting on Pain Control.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19895630 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - November 6, 2009 Category: Emergency Medicine Authors: Stephen JM, Weiner SG Tags: Acad Emerg Med Source Type: journals

Gestational Trophoblastic Disease.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19891672 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - November 5, 2009 Category: Emergency Medicine Authors: Stone MB, Conroy NE Tags: Acad Emerg Med Source Type: journals

Emergency Ultrasound Diagnosis of Acute Appendicitis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19891673 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - November 5, 2009 Category: Emergency Medicine Authors: Stone MB, Chao J Tags: Acad Emerg Med Source Type: journals

Ultrasound-guided Ulnar Nerve Block in the Management of Digital Abscess and Hand Cellulitis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19891674 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - November 5, 2009 Category: Emergency Medicine Authors: Stone MB, Muresanu M Tags: Acad Emerg Med Source Type: journals

Emergency Ultrasound Diagnosis of Cardiogenic Shock Due to Acute Mitral Regurgitation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19891675 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - November 5, 2009 Category: Emergency Medicine Authors: Stone MB Tags: Acad Emerg Med Source Type: journals

The Difficult Airway.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19891676 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - November 5, 2009 Category: Emergency Medicine Authors: Guirgis F, Perera T, Ciorciari A Tags: Acad Emerg Med Source Type: journals

Asymptomatic Hypertension in the Emergency Department: A Matter of Critical Public Health Importance.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract 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 system...
Source: Accident and Emergency Nursing - October 19, 2009 Category: Emergency Medicine Authors: Levy PD, Cline D Tags: Acad Emerg Med Source Type: journals

Adolescent Suicide Risk Screening in the Emergency Department.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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; 16:1-8 (c) 2009 by the Society for Academic Emergency Medicine. PMID: 19845554 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - October 19, 2009 Category: Emergency Medicine Authors: King CA, O'Mara RM, Hayward CN, Cunningham RM Tags: Acad Emerg Med Source Type: journals

Six-month Follow-up of a Brief Intervention on Self-reported Safety Belt Use Among Emergency Department Patients.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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; 16:1-4 (c) 2009 by the Society for Academic Emergency Medicine. PMID: 19814758 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - October 7, 2009 Category: Emergency Medicine Authors: Fernandez WG, Winter MR, Mitchell PM, Bullock H, Donovan J, George JS, Feldman JA, Gallagher SS, McKay MP, Bernstein E, Colton T Tags: Acad Emerg Med Source Type: journals

Emergency Department Chlamydia Screening Through Partnership with the Public Health Department.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: This study demonstrates the feasibility of an ED-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; 16:1-4 (c) 2009 by the Society for Academic Emergency Medicine. PMID: 19814759 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - October 7, 2009 Category: Emergency Medicine Authors: Irvin CB, Nowak B, Moore M, Flynn K, Vretta C Tags: Acad Emerg Med Source Type: journals

Antibiotic prescriptions are associated with increased patient satisfaction with emergency department visits for acute respiratory tract infections.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Antibiotic prescriptions are associated with increased overall patient satisfaction in non-VA, but not VA, ED visits for URIs. Continued efforts to reduce unnecessary prescriptions in these settings must address ways to maintain patient satisfaction and still reduce antibiotic prescriptions. PMID: 19799568 [PubMed - in process] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - September 30, 2009 Category: Emergency Medicine Authors: Stearns CR, Gonzales R, Camargo CA, Maselli J, Metlay JP Tags: Acad Emerg Med Source Type: journals

Serious bacterial infections in febrile outpatient pediatric heart transplant recipients.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The incidence of bacteremia was low in febrile, outpatient pediatric heart transplant patients, especially in those who were not ill-appearing and did not have a focus of serious infection. Two different low-risk criteria performed well in identifying the bacteremic patients, although given the low number of true-positive cultures, the CIs for the sensitivities of these tests were extremely wide, and neither test could be reliably used at present. A prospective multicenter study is required to confirm the low incidence of bacteremia and low-risk criteria in this population. PMID: 19799569 [PubMed - in proc...
Source: Accident and Emergency Nursing - September 30, 2009 Category: Emergency Medicine Authors: Yin S, Trainor JL, Powell EC Tags: Acad Emerg Med Source Type: journals

National study of patient, visit, and hospital characteristics associated with leaving an emergency department without being seen: predicting LWBS.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Several patient, visit, and hospital characteristics are independently associated with LWBS. Prediction and benchmarking of LWBS rates should adjust for these factors. PMID: 19799570 [PubMed - in process] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - September 30, 2009 Category: Emergency Medicine Authors: Pham JC, Ho GK, Hill PM, McCarthy ML, Pronovost PJ Tags: Acad Emerg Med Source Type: journals

Feasibility of an interactive voice response tool for adolescent assault victims.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Interactive voice response technology is a feasible means of follow-up among high-risk violently injured adolescents, and this relatively anonymous process allows for the collection of sensitive information. Further research is needed to determine the optimal timing of calls and cost-effectiveness in this population. PMID: 19799571 [PubMed - in process] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - September 30, 2009 Category: Emergency Medicine Authors: Blackstone MM, Wiebe DJ, Mollen CJ, Kalra A, Fein JA Tags: Acad Emerg Med Source Type: journals

Trends in midlevel provider utilization in emergency departments from 1997 to 2006.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The number of ED patients seen by MLPs has increased sharply, from 5.2 million in 1997 (5.5% of all ED cases) to 15.2 million in 2006 (12.7% of all ED cases). Similarly, the proportion of EDs reporting use of MLPs has increased from 28.3% in 1997 to 77.2% in 2006. PMID: 19799572 [PubMed - in process] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - September 30, 2009 Category: Emergency Medicine Authors: Menchine MD, Wiechmann W, Rudkin S Tags: Acad Emerg Med Source Type: journals

Disconnect between charted vestibular diagnoses and emergency department management decisions: a cross-sectional analysis from a nationally representative sample.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Patients given a vestibular diagnosis in the ED may not be managed optimally. Patients given BPPV and APV diagnoses undergo imaging (predominantly CT) with equal frequency, suggesting overuse of CT (BPPV) and probably underuse of MRI (APV). Most patients diagnosed with BPPV are given meclizine, which is not indicated. Specific therapy for APV (corticosteroids) is probably underutilized. Educational initiatives and clinical guidelines merit consideration. PMID: 19799573 [PubMed - in process] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - September 30, 2009 Category: Emergency Medicine Authors: Newman-Toker DE, Camargo CA, Hsieh YH, Pelletier AJ, Edlow JA Tags: Acad Emerg Med Source Type: journals

Academic emergency medicine can print pharmaceutical advertising while not compromising its mission or its integrity.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19799574 [PubMed - in process] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - September 30, 2009 Category: Emergency Medicine Authors: Gaddis GM, Olson JE, Wright DW Tags: Acad Emerg Med Source Type: journals

Adapt and survive.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19799576 [PubMed - in process] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - September 30, 2009 Category: Emergency Medicine Authors: Haley LL, Kellermann AL Tags: Acad Emerg Med Source Type: journals

The 2008 Emergency Care Research Networks (ECRN) Conference: design, summary of findings, and an update.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19799577 [PubMed - in process] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - September 30, 2009 Category: Emergency Medicine Authors: Lewis RJ, Neumar RW, Courtney DM Tags: Acad Emerg Med Source Type: journals

Unique characteristics of emergency care research: scope, populations, and infrastructure.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The National Institutes of Health (NIH) Clinical and Translational Science Awards (CTSA) program and the 2006 Institute of Medicine (IOM) Report on the future of emergency care highlight the need for coordinated emergency care research (ECR) to improve the outcomes of acutely ill or injured patients. In response, the Society for Academic Emergency Medicine (SAEM) and the American College of Emergency Physicians (ACEP) sponsored the Emergency Care Research Network (ECRN) Conference in Washington, DC, on May 28, 2008. The conference objectives were to identify the unique nature of ECR and the infrastructure needed to sup...
Source: Accident and Emergency Nursing - September 30, 2009 Category: Emergency Medicine Authors: Courtney DM, Neumar RW, Venkatesh AK, Kaji AH, Cairns CB, Lavonas E, Richardson LD Tags: Acad Emerg Med Source Type: journals

Structure and function of emergency care research networks: strengths, weaknesses, and challenges.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Discussions centered on identifying characteristics that promote or inhibit successful networks and their interactivity, productivity, and expansion. Here the authors describe the current state of ECRNs and identify the strengths, weaknesses, and potential pitfalls of research networks. The most commonly cited strengths of population- or disease-based research networks identified in the preconference survey were access to larger numbers of patients; involvement of physician experts in the field, contributing to high-level study content; and the collaboration among investigators. The most commonly cited weaknesses were stud...
Source: Accident and Emergency Nursing - September 30, 2009 Category: Emergency Medicine Authors: Papa L, Kuppermann N, Lamond K, Barsan WG, Camargo CA, Ornato JP, Stiell IG, Talan DA Tags: Acad Emerg Med Source Type: journals

Facilitating emergency care research networks: integration into the Clinical Translational and Science Award (CTSA) infrastructure.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Emergency care research (ECR) does not fit neatly into the traditional National Institutes of Health (NIH) funding model, because emergency research involves undifferentiated disease presentations involving multiple disciplines and time-sensitive interventions. A task force of emergency care researchers and other stakeholders was convened to discuss the present and future state of clinical research networks. Integration of ECR with the Clinical Translational and Science Award (CTSA) program through a multidisciplinary emergency care research network (ECRN) would obviate the duplication of research efforts by disease-sp...
Source: Accident and Emergency Nursing - September 30, 2009 Category: Emergency Medicine Authors: Hollander JE, Gaulton GN, Courtney DM, Lewis RJ, Lowe RA, Becker MO, Neumar RW Tags: Acad Emerg Med Source Type: journals

Industry relations with emergency medicine graduate medical education programs.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A panel of physicians from the Society for Academic Emergency Medicine (SAEM) Graduate Medical Education (GME), Ethics, and Industry Relations Committees were asked by the SAEM Board of Directors to write a position paper on the relationship of emergency medicine (EM) GME with industry. Using multiple sources as references, the team derived a set of guidelines that all EM GME training programs can use when interacting with industry representatives. In addition, the team used a question-answer format to provide educators and residents with a practical approach to these interactions. The SAEM Board of Directors endorsed...
Source: Accident and Emergency Nursing - September 30, 2009 Category: Emergency Medicine Authors: Kowalenko T, Char D, Marco C, Asher S, Raja A, Farrell S, Sokolove PE, Tags: Acad Emerg Med Source Type: journals

Emergency Medicine and Political Influence.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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; 16:1-6 (c) 2009 by the Society for Academic Emergency Medicine. PMID: 19754861 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - September 14, 2009 Category: Emergency Medicine Authors: Hemphill RR, Sklar DP, Christopher T, Kellermann AL, Tarrant JR Tags: Acad Emerg Med Source Type: journals

A Method for Improving Arrival-to-electrocardiogram Time in Emergency Department Chest Pain Patients and the Effect on Door-to-balloon Time for ST-segment Elevation Myocardial Infarction.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The overall percentage of patients with a door-to-ECG time within 10 minutes improved without increasing staffing. An ECG was performed within 10 minutes of arrival for all patients who were STEMI cath alerted, but DTB time under 90 minutes was achieved only when the cath team was on site. ACADEMIC EMERGENCY MEDICINE 2009; 16:1-8 (c) 2009 by the Society for Academic Emergency Medicine. PMID: 19754862 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - September 14, 2009 Category: Emergency Medicine Authors: Takakuwa KM, Burek GA, Estepa AT, Shofer FS Tags: Acad Emerg Med Source Type: journals

Early Diagnosis of Necrotizing Fasciitis with Soft Tissue Ultrasound.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19732035 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - September 2, 2009 Category: Emergency Medicine Authors: Hosek WT, Laeger TC Tags: Acad Emerg Med Source Type: journals

Bedside Ultrasound of a Painful Finger: Kanavel's Fifth Sign?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19732036 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - September 2, 2009 Category: Emergency Medicine Authors: Scott Bomann J, Tham E, McFadden P, Krochmal P, Moore C Tags: Acad Emerg Med Source Type: journals

Evaluating Emergency Care Research Networks: What Are the Right Metrics?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract 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 stakeholder...
Source: Accident and Emergency Nursing - September 2, 2009 Category: Emergency Medicine Authors: Baren JM, Middleton MK, Kaji AH, O'Conner RE, Lindsell C, Weik TS, Lewis RJ Tags: Acad Emerg Med Source Type: journals

Compression of the Left Ventricular Outflow Tract During Cardiopulmonary Resuscitation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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; 16:1-6 (c) 2009 by the Society for Academic Emergency Medicine. PMID: 19732038 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - September 2, 2009 Category: Emergency Medicine Authors: Hwang SO, Zhao PG, Choi HJ, Park KH, Cha KC, Park SM, Kim SC, Kim H, Lee KH Tags: Acad Emerg Med Source Type: journals

Supply and Demand of Board-certified Emergency Physicians by U.S. State, 2005.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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; 16:1-5 (c) 2009 by the Society for Academic Emergency Medicine. PMID: 19719820 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - August 30, 2009 Category: Emergency Medicine Authors: Sullivan AF, Ginde AA, Espinola JA, Camargo CA Tags: Acad Emerg Med Source Type: journals

Diagnosis and Removal of Urethral Calculi Using Bedside Ultrasound in the Emergency Department.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19719821 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - August 30, 2009 Category: Emergency Medicine Authors: Villaume Iv F, Plummer D, Caroon L Tags: Acad Emerg Med Source Type: journals

The Business of Emergency Medicine: A Nonclinical Curriculum Proposal for Emergency Medicine Residency Programs.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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; 16:1-8 (c) 2009 by the Society for Academic Emergency Medicine. PMID: 19689483 [PubMed - as supplied by publi...
Source: Accident and Emergency Nursing - August 17, 2009 Category: Emergency Medicine Authors: Falvo T, McKniff S, Smolin G, Vega D, Amsterdam JT Tags: Acad Emerg Med Source Type: journals

Single and Combined Diagnostic Value of Clinical Features and Laboratory Tests in Acute Appendicitis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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; 16:1-8 (c) 2009 by the Society for Academic Emergency Medicine. PMID: 19689484 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - August 17, 2009 Category: Emergency Medicine Authors: Laméris W, van Randen A, Go PM, Bouma WH, Donkervoort SC, Bossuyt PM, Stoker J, Boermeester MA Tags: Acad Emerg Med Source Type: journals

Can Unannounced Standardized Patients Assess Professionalism and Communication Skills in the Emergency Department?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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; 16:1-4 (c) 2009 by the Society for Academic Emergency Medicine. PMID: 19673703 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - August 9, 2009 Category: Emergency Medicine Authors: Zabar S, Ark T, Gillespie C, Hsieh A, Kalet A, Kachur E, Manko J, Regan L Tags: Acad Emerg Med Source Type: journals

The Association Between Emergency Medical Technician-Basic (EMT-B) Exam Score, Length of EMT-B Certification, and Success on the National Paramedic Certification Exam.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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; 16:1-6 (c) 2009 by the Society for Academic Emergency Medicine. PMID: 19673704 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - August 9, 2009 Category: Emergency Medicine Authors: Fernandez AR, Studnek JR, Cone DC Tags: Acad Emerg Med Source Type: journals

Combined Residency Training in Emergency Medicine and Internal Medicine: An Update on Career Outcomes and Job Satisfaction.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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; 16:1-6 (c) 2009 by the Society for Academic Emergency Medicine. PMID: 19673705 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - August 9, 2009 Category: Emergency Medicine Authors: Kessler CS, Stallings LA, Gonzalez AA, Templeman TA Tags: Acad Emerg Med Source Type: journals

The Ethics of Observation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19673706 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - August 9, 2009 Category: Emergency Medicine Authors: Biros MH, Baren JM Tags: Acad Emerg Med Source Type: journals

Randomized Double-blind Placebo Controlled Crossover Study of Acetaminophen, Ibuprofen, Acetaminophen/Hydrocodone, and Placebo for the Relief of Pain From a Standard Painful Stimulus.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 (-6.6 and -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 EMER...
Source: Accident and Emergency Nursing - August 9, 2009 Category: Emergency Medicine Authors: Miner JR Tags: Acad Emerg Med Source Type: journals

Antiapoptotic Cardioprotective Effect of Hypothermia Treatment Against Oxidative Stress Injuries.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Hypothermia at 31 degrees C can protect cardiomyocytes against oxidative stress-induced injury by decreasing apoptosis and mitochondrial dysfunction through intracellular ROS-dependent pathways. ACADEMIC EMERGENCY MEDICINE 2009; 16:1-9 (c) 2009 by the Society for Academic Emergency Medicine. PMID: 19673708 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - August 9, 2009 Category: Emergency Medicine Authors: Huang CH, Chen HW, Tsai MS, Hsu CY, Peng RH, Wang TD, Chang WT, Chen WJ Tags: Acad Emerg Med Source Type: journals

Effect of Trainees on Length of Stay in the Pediatric Emergency Department.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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; 16:1-7 (c) 2009 by the Society for Academic Emergency Medicine. PMID: 19673709 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - August 9, 2009 Category: Emergency Medicine Authors: James C, Harper M, Johnston P, Sanders B, Shannon M Tags: Acad Emerg Med Source Type: journals

The Importance of Emergency Medicine in Organ Donation: Successful Donation Is More Likely When Potential Donors Are Referred From the Emergency Department.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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; 16:1-9 (c) 2009 by the Society for Academic Emergency Medicine. PMID: 19673710 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - August 9, 2009 Category: Emergency Medicine Authors: Michael GE, O'Connor RE Tags: Acad Emerg Med Source Type: journals

A Comparison of GlideScope Video Laryngoscopy Versus Direct Laryngoscopy Intubation in the Emergency Department.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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; 16:1-6 (c) 2009 by the Society for Academic Emergency Medicine. PMID: 19664096 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - August 5, 2009 Category: Emergency Medicine Authors: Platts-Mills TF, Campagne D, Chinnock B, Snowden B, Glickman LT, Hendey GW Tags: Acad Emerg Med Source Type: journals

Is It Contagious?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19664097 [PubMed - as supplied by publisher] (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - August 5, 2009 Category: Emergency Medicine Authors: Silverberg M Tags: Acad Emerg Med Source Type: journals