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Emergency Medicine News & Articles

MDLinx.com is your one stop shop for the latest Emergency Medicine news articles and peer reviewed clinical journal articles categorized daily into various hot topics such as: Trauma, Emergency Medicine Services, Airway/Respiratory management, Toxicology and much more. Not only are we the quickest, writing summaries of every article with 24 hours of publication, but we are also your most efficient resource for up-to-the-minute literature in Emergency Medicine.

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Articles

Latest (37) Full Text Articles (650)
Ranked, sorted, and summarized by MDLinx editors from the latest literature
Topics:

1 Randomized Clinical Trial of the 2 mg Hydromorphone Bolus Protocol Versus the “1+1” Hydromorphone Titration Protocol in Treatment of Acute, Severe Pain in the First Hour of Emergency Department Presentation Annals of Emergency Medicine, May 21, 2013    Clinical Article

2 Effects of Patient-Directed Music Intervention on Anxiety and Sedative Exposure in Critically Ill Patients Receiving Mechanical Ventilatory Support: A Randomized Clinical Trial JAMA, May 21, 2013    Evidence Based Medicine    Clinical Article

3 Acute glucocorticoid deficiency and diabetes insipidus are common following acute traumatic brain injury and predict mortality Journal of Clinical Endocrinology and Metabolism, May 21, 2013    Review Article

4 Aggressive Fluid and Sodium Restriction in Acute Decompensated Heart Failure: A Randomized Clinical Trial JAMA Internal Medicine, May 21, 2013    Evidence Based Medicine    Clinical Article

5 Reducing Deep Sedation and Delirium in Acute Lung Injury Patients: A Quality Improvement Project Critical Care Medicine, May 21, 2013    Clinical Article

6 Yield of Routine Provocative Cardiac Testing Among Patients in an Emergency Department–Based Chest Pain Unit: Yield of Stress Testing in Emergency Department Observation Units JAMA Internal Medicine, May 21, 2013    Evidence Based Medicine    Clinical Article

7 Can social dancing prevent falls in older adults? a protocol of the Dance, Aging, Cognition, Economics (DAnCE) fall prevention randomised controlled trial Full Text BMC Public Health, May 21, 2013    Clinical Article

8 Procedural sedation and analgesia for reduction of distal forearm fractures in the paediatric emergency department: A clinical survey Emergency Medicine Australasia, May 21, 2013    Clinical Article

9 Cost-effectiveness of recombinant human hyaluronidase-facilitated subcutaneous versus intravenous rehydration in children with mild to moderate dehydration The American Journal of Emergency Medicine, May 21, 2013    Clinical Article

10 Determination of Burn Patient Outcome by Large-Scale Quantitative Discovery Proteomics Critical Care Medicine, May 21, 2013    Clinical Article

11 Lactate and Venoarterial Carbon Dioxide Difference/Arterial-Venous Oxygen Difference Ratio, but Not Central Venous Oxygen Saturation, Predict Increase in Oxygen Consumption in Fluid Responders Critical Care Medicine, May 21, 2013    Clinical Article

12 Falls and fractures in participants and excluded non-participants of a fall prevention exercise program for elderly women with a history of falls: 1-year follow-up study Geriatrics and Gerontology International, May 21, 2013    Clinical Article

13 Blood pressure cuffs as a vector for transmission of multi-resistant organisms: Colonisation rates and effects of disinfection Emergency Medicine Australasia, May 21, 2013    Review Article

14 Utilization Patterns and Outcomes Associated With Central Venous Catheter in Septic Shock: A Population-Based Study Critical Care Medicine, May 21, 2013    Clinical Article

15 Non-invasive blood pressure and cardiac index measurements using the Finapres Portapres in an emergency department triage setting The American Journal of Emergency Medicine, May 21, 2013    Review Article

16 CT imaging as a prognostic indicator for patients with pulmonary injury from acute paraquat poisoning British Journal of Radiology, May 21, 2013    Review Article

17 Estimating Quality of Life in Acute Venous Thrombosis JAMA Internal Medicine, May 21, 2013    Evidence Based Medicine    Clinical Article

18 Trauma and conditional risk of posttraumatic stress disorder in two American Indian reservation communities Social Psychiatry and Psychiatric Epidemiology, May 21, 2013    Clinical Article

19 Male chronic pelvic pain syndrome and the role of interdisciplinary pain management World Journal of Urology, May 21, 2013

20 The availability, spatial accessibility, service utilisation and retrieval cost of paediatric intensive care services for children in rural, regional and remote Queensland: study protocol Full Text BMC Health Services Research, May 21, 2013

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Clinical Pearls in Emergency Medicine

Highlights in Emergency Medicine

Procalcitonin and CRP predict identify high-risk children with appendicitis

As published in Pediatric Emergency Care, procalcitonin and CRP levels discriminate between children admitted with a diagnosis of acute appendicitis who may require closer monitoring. The study involved 111 children who were divided into 2 groups based on intra-operative diagnoses of appendicitis (n=69) and peritonitis (n=42). Patients with peritonitis, who were more likely to have complications and require intensive care unit admission, had significantly higher procalcitonin (0.15 vs. 4.95 ng/ml) and CRP levels (3 vs. 14.3 mg/dl) on admission than patients with appendicitis. Using a cut-off procalcitonin level of 0.18 ng/ml, the sensitivity, specificity, positive predictive value, and negative predictive value for peritonitis were 97%, 80%, 72%, and 89.3%, respectively. Using a cut-off CRP level of 3 mg/dl, the sensitivity, specificity, positive predictive value, and negative predictive value for peritonitis were 95%, 74%, 68%, and 96.2%, respectively.

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Vomiting during acute stroke increases mortality

As published in the Emergency Medicine Journal, patients who vomit during acute strokes have an increased risk of mortality (HR=5.06). Of 1968 stroke patients enrolled in the study, 1349 had cerebral infarctions, 459 had cerebral hemorrhages, and 152 had subarachnoid hemorrhages; 14.5% of all stroke patients vomited during the acute stage of the stroke (cerebral infarction, 8.7%; cerebral hemorrhage, 23.7%; and subarachnoid hemorrhage, 36.8%).

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Association between tight glycemic control and hip fracture in diabetics

As published in the Journal of the American Geriatrics Society, patients with T2DM (mean age, 77.3 y; n=932) with a HbA1c < 6% (OR=3.01) or 6.1-7% (OR=2.34) are more likely to sustain a hip fracture than patients with a HbA1c > 8%. All patients had a HbA1c level determined within 3 months preceding the hip fracture. No differences in risk existed between patients treated with oral hypoglycemics or insulin.

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Most Popular Emergency Medicine Articles

Last month's top read Top Articles of 2012

1 A Randomized Trial of Intravenous Ketorolac Versus Intravenous Metoclopramide Plus Diphenhydramine for Tension-Type and All Nonmigraine, Noncluster Recurrent Headaches Annals of Emergency Medicine, April 9, 2013

2 Thromboprophylaxis for trauma patients Cochrane Reviews, April 1, 2013    Review Article

3 Mortality and morbidity after high-dose methylprednisolone treatment in patients with acute cervical spinal cord injury: a propensity-matched analysis using a nationwide administrative database Emergency Medicine Journal, March 11, 2013

4 Product related adult genitourinary injuries treated at emergency departments in the united states from 2002 to 2010 The Journal of Urology, April 16, 2013

5 Cost-Effectiveness of Helicopter Versus Ground Emergency Medical Services for Trauma Scene Transport in the United States Annals of Emergency Medicine, April 12, 2013    Review Article

6 Unintentional Prescription Opioid-Related Overdose Deaths: Description of Decedents by Next of Kin or Best Contact, Utah, 2008-2009 Journal of General Internal Medicine, April 5, 2013    Review Article

7 Clinical prediction model to aid emergency doctors managing febrile children at risk of serious bacterial infections: diagnostic study British Medical Journal, April 12, 2013

8 A comparative study of 1% silver sulphadiazine (Flammazine) versus an enzyme alginogel (Flaminal) in the treatment of partial thickness burns Burns, April 4, 2013

9 Blood pH is a Useful Indicator for Initiation of Therapeutic Hypothermia in the Early Phase of Resuscitation after Comatose Cardiac Arrest: A Retrospective Study The Journal of Emergency Medicine, April 26, 2013

10 The Stroke Hyperglycemia Insulin Network Effort (SHINE) trial protocol: a randomized, blinded, efficacy trial of standard vs. intensive hyperglycemia management in acute stroke International Journal of Stroke, April 3, 2013

11 Feasibility of the video-laryngoscope (GlideScope) for endotracheal intubation during uninterrupted chest compressions in actual advanced life support: A clinical observational study in an urban emergency department Resuscitation, March 29, 2013

12 Risks and Benefits Associated With Antibiotic Use for Acute Respiratory Infections: A Cohort Study Annals of Family Medicine, March 22, 2013    Free full text

13 Continuous versus intermittent infusions of antibiotics for the treatment of severe acute infections Cochrane Reviews, April 15, 2013    Review Article

14 Comparison of Prasugrel and Ticagrelor Loading Doses in ST-Segment Elevation Myocardial Infarction Patients RAPID (Rapid Activity of Platelet Inhibitor Drugs) Primary PCI Study JACC - Journal of the American College of Cardiology, April 12, 2013

15 Pulmonary Embolectomy in High-Risk Acute Pulmonary Embolism: The Effectiveness of a Comprehensive Therapeutic Algorithm Including Extracorporeal Life Support Resuscitation, April 15, 2013

16 Safety and Efficacy of Intravenous Hypotonic 0.225% Sodium Chloride Infusion for the Treatment of Hypernatremia in Critically Ill Patients Nutrition in Clinical Practice, April 24, 2013

17 Emergency management of community-acquired bacterial pneumonia: what is new since the 2007 Infectious Diseases Society of America/American Thoracic Society guidelines The American Journal of Emergency Medicine, February 7, 2013    Clinical Guideline

18 The Role of Cardiac Magnetic Resonance Imaging (MRI) in Acute Myocardial Infarction (AMI) Heart, Lung, and Circulation, April 4, 2013    Review Article

19 Randomized Clinical Trial of the Effect of Supplemental Opioids in Procedural Sedation with Propofol on Serum Catecholamines Academic Emergency Medicine, April 17, 2013

20 Nitrous Oxide for Early Analgesia in the Emergency Setting: A Randomized, Double-blind Multicenter Prehospital Trial Academic Emergency Medicine, February 26, 2013

Indexed Journals in Emergency Medicine: Journal of Emergency Medicine, Annals of Emergency Medicine, Injurymore

Other Topics in Emergency Medicine

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