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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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Your Unread Messages in Emergency Medicine
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Articles
Latest (2) Full Text Articles (21)981 Emergency Department Throughput, Crowding, and Financial Outcomes for Hospitals Academic Emergency Medicine, August 3, 2010
982 Features and outcome of patients receiving multiple Medical Emergency Team reviews Resuscitation, August 2, 2010
983 Successful implementation of a family and patient activated rapid response team in an adult level 1 trauma center Resuscitation, July 30, 2010
984 Emergency Medicine in the Developing World: A Delphi Study Academic Emergency Medicine, July 29, 2010
985 Medications from the Web: Use of Online Pharmacies by Emergency Department Patients The Journal of Emergency Medicine, July 29, 2010
986 Factors Associated With Emergency Department Use Among the Rural Elderly The Journal of Rural Health, July 28, 2010
987 Mortality Decreases by Implementing a Level I Trauma Center in a Dutch Hospital The Journal of Trauma and Acute Care Surgery, July 28, 2010
988
Emergency Department Tachypnea Predicts Transfer to a Higher Level of Care in the First 24 hours After ED Admission
Academic Emergency Medicine, July 27, 2010
Exclusive Author Commentary
989 Are All Trauma Centers Created Equally? A Statewide Analysis Academic Emergency Medicine, July 27, 2010
990 Endowed Faculty Positions in Academic Emergency Medicine: 5 Years Later The Journal of Emergency Medicine, July 26, 2010
991 Epidemiology of injuries presenting to the national hospital in Kampala, Uganda: implications for research and policy International Journal of Emergency Medicine, July 26, 2010
992
Alcohol-related emergency department attendances: is preloading a risk factor? Cross-sectional survey
International Journal of Emergency Medicine, July 23, 2010
Exclusive Author Commentary
993 Seclusion and its context in acute inpatient psychiatric care Journal of Medical Ethics, July 23, 2010
994 Duty Hours in Emergency Medicine: Balancing Patient Safety, Resident Wellness, and the Resident Training Experience: A Consensus Response to the 2008 Institute of Medicine Resident Duty Hours Recommendations The Journal of Emergency Medicine, July 22, 2010
995 Secrets of the perioptome: new tools for a new concept Current Opinion in Critical Care, July 21, 2010
996 Analysis of reasons for emergency call delays in Japan in relation to location: High incidence of correctable causes and the impact of delays on patient outcomes Resuscitation, July 21, 2010
997 Summer Camps for Children With Burn Injuries: A Literature Review Journal of Burn Care & Research, July 20, 2010
998 Reviewing the blood ordering schedule for elective orthopedic surgeries at a level one trauma care center Journal of Emergencies, Trauma and Shock, July 20, 2010
999 The effects of error management climate and safety communication on safety: A multi-level study Accident Analysis & Prevention, July 20, 2010
1000 Staff attitudes and thoughts about the use of coercion in acute psychiatric wards Social Psychiatry and Psychiatric Epidemiology, July 20, 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 Medicine Articles
Last month's top read Top Articles of 20121 A Long-term Analysis of Physician Triage Screening in the Emergency Department Academic Emergency Medicine, April 19, 2013
2 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
3 Mass-gathering medicine: a descriptive analysis of a range of mass-gathering event types The American Journal of Emergency Medicine, March 5, 2013 Review Article
4 Development of a checklist of safe discharge practices for hospital patients Journal of Hospital Medicine, April 18, 2013
5 National estimates of emergency department visits for angioedema and allergic reactions in the United States Allergy and Asthma Proceedings, March 8, 2013 Review Article
6 Does Providing Prescription Information or Services Improve Medication Adherence Among Patients Discharged From the Emergency Department? A Randomized Controlled Trial Annals of Emergency Medicine, April 8, 2013 Review Article
7 Prehospital interventions for penetrating trauma victims: A prospective comparison between Advanced Life Support and Basic Life Support Injury, April 9, 2013
8 Prehospital Assessment and Management of Patients with Ventricular-Assist Devices Prehospital Emergency Care, March 21, 2013 Review Article
9 Validation of a Modified Medical Resource Model for Mass Gatherings Prehospital and Disaster Medicine, April 3, 2013
10 Increasing arterial oxygen partial pressure during cardiopulmonary resuscitation is associated with improved rates of hospital admission Resuscitation, January 22, 2013 Review Article
11
Helicopter emergency medical services for adults with major trauma
Cochrane Reviews, April 2, 2013
Review Article
Exclusive Author Commentary
12 Syncope Risk Assessment in the Emergency Department and Clinic Progress in Cardiovascular Diseases , March 18, 2013
13 Prehospital Sepsis Project (PSP): Knowledge and Attitudes of United States Advanced Out-of-Hospital Care Providers Prehospital and Disaster Medicine, March 27, 2013
14 Patients who call emergency ambulances for primary care problems: a qualitative study of the decision-making process Emergency Medicine Journal, April 4, 2013 Review Article
15 Analysis of Complaints in a Rural Emergency Medical Service System Prehospital and Disaster Medicine, March 26, 2013
16 Diagnostic Accuracy of a Rapid Checklist to Identify Delirium in Older Patients Transported by EMS Prehospital Emergency Care, March 20, 2013
17 Potential wrist ligament injury in rescuers performing cardiopulmonary resuscitation Journal of Emergencies, Trauma and Shock, April 22, 2013 Free full text Review Article
18 Management of first-trimester complications in the emergency department American Journal of Health-System Pharmacy, January 10, 2013
19 Prehospital system delay in ST-segment elevation myocardial infarction care: A novel linkage of emergency medicine services and inhospital registry data American Heart Journal, March 15, 2013 Review Article
20 Helicopter emergency medical services (HEMS) response to out-of-hospital cardiac arrest Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, January 8, 2013 Review Article
Indexed Journals in Emergency Medicine: Journal of Emergency Medicine, Annals of Emergency Medicine, Injury more
Other Topics in Emergency Medicine
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