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Emergency Medicine - EM Services 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.
As an added feature, on this page you can also view highly recommended articles highlighted by our physician editor D. Scott Cunningham, MD, PhD and clinical pearls from the Internal Medicine Physician Review.
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Articles
Latest Full Text Articles (21)941 The Effects of Temperature and Use of Air Conditioning on Hospitalizations Full Text American Journal of Epidemiology, September 20, 2010
942 ED crowding is associated with an increased time to pneumonia treatment The American Journal of Emergency Medicine, September 17, 2010
943 Quality of Care for Acute Myocardial Infarction in 58 U.S. Emergency Departments Academic Emergency Medicine, September 16, 2010
944 Reducing Ambulance Response Times Using Geospatial–Time Analysis of Ambulance Deployment Academic Emergency Medicine, September 16, 2010
945 Factors Related to Missed Diagnosis of Incidental Scabies Infestations in Patients Admitted Through the Emergency Department to Inpatient Services Academic Emergency Medicine, September 16, 2010
946 Physicians impression on the elders functionality influences decision making for emergency care The American Journal of Emergency Medicine, September 16, 2010
947 Awareness and Utilization of Emergency Medical Services by Limited English Proficient Caregivers of Pediatric Patients Prehospital Emergency Care, September 14, 2010
948 Death Notification Training for Prehospital Providers: A Pilot Study Prehospital Emergency Care, September 14, 2010 Continuing Medical Education
949 Patient Satisfaction in the Emergency Department and the Use of Business Cards by Physicians The Journal of Emergency Medicine, September 14, 2010
950 Barriers to Adoption of Evidence-Based Prehospital Airway Management Practices in California Prehospital Emergency Care, September 13, 2010
951 Access to Trauma Systems in Canada The Journal of Trauma and Acute Care Surgery, September 13, 2010
952 Injury Hospitalization as a Marker for Emergency Medical Services Use in Elderly Patients Prehospital Emergency Care, September 9, 2010
953 Ambulance Personnel Perceptions of Near Misses and Adverse Events in Pediatric Patients Prehospital Emergency Care, September 9, 2010
954 Alcohol-Associated Illness and Injury and Ambulance Calls in a Midwestern College Town: A Four-Year Retrospective Analysis Prehospital Emergency Care, September 9, 2010
955 A Model for the Association of the Call Volume and the Unavailable-for-Response Interval on the Delayed Ambulance Response for Out-of-Hospital Cardiac Arrest Using a Geographic Information System Prehospital Emergency Care, September 8, 2010
956 The Outcomes of Emergency Pharmacist Participation during Acute Myocardial Infarction The Journal of Emergency Medicine, September 8, 2010
957 Use of Geographic Information Systems to Determine New Helipad Locations and Improve Timely Response While Mitigating Risk of Helicopter Emergency Medical Services Operations Prehospital Emergency Care, September 8, 2010
958 Variation in Emergency Medical Services Workplace Safety Culture Prehospital Emergency Care, September 8, 2010
959 Trends in the Duration of Emergency Department Visits, 2001–2006 Psychiatric Services, September 3, 2010
960 Implementation of crowding solutions from the American College of Emergency Physicians Task Force Report on Boarding International Journal of Emergency Medicine, September 1, 2010
Clinical Pearls in Emergency Medicine
- Appendicitis is the most common pediatric gastrointestinal surgical emergency.
- Drug-eluting stent (DES) placement improves revascularization rates without increased 3-year hazard of adverse clinical outcomes among individuals undergoing emergency primary percutaneous coronary intervention due to ST-segment elevation myocardial infarctions (STEMIs).
- Using an accelerated diagnostic protocol (ADP) with Troponin 1 as the sole biomarker may successfully identify low short-term risk of major adverse coronary event (MACE), and decrease observation time among individuals who present to the ER with chest pain.
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.
Read the article summaryVomiting 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%).
Read the article summaryAssociation 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.
Read the article summaryMost Popular Emergency Med Articles
Last month's top read Top Articles of 2012Indexed Journals in Emergency Medicine: Journal of Emergency Medicine, Annals of Emergency Medicine, Injury more
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