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Emergency Medicine - GI/Abdominal 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 (1) Full Text Articles (43)341 Complicated intra-abdominal infections in Europe: preliminary data from the first three months of the CIAO Study Full Text World Journal of Emergency Surgery, May 22, 2012
342 Hemorrhagic Gastritis with Dabigatran in a Patient with Renal Insufficiency The Journal of Emergency Medicine, May 22, 2012
343 Diagnosis of Neonatal Intrahepatic Cholestasis Caused by Citrin Deficiency Using High-Resolution Melting Analysis and a Clinical Scoring System The Journal of Pediatrics, May 18, 2012
344 Incidence of Peptic Ulcer Bleeding in the US Pediatric Population Journal of Pediatric Gastroenterology and Nutrition, May 17, 2012
345 Predictors of Clinically Significant Upper Gastrointestinal Hemorrhage Among Children With Hematemesis Journal of Pediatric Gastroenterology and Nutrition, May 17, 2012
346 Blunt abdominal trauma in children Current Opinion in Pediatrics, May 15, 2012
347 Clinical Manifestations in Children With Ruptured Appendicitis Pediatric Emergency Care, May 15, 2012
348 Timely Diagnosis of Perforated Jejunal Diverticulitis by Computed Tomography The Journal of Emergency Medicine, May 15, 2012
349 Iatrogenic Complications in Five Patients with Upper Gastrointestinal Bleeding due to Ambient Air: Case Series and Literature Review Case Reports in Gastroenterology, May 15, 2012
350 A nationwide analysis of risk factors for mortality and time to endoscopy in upper gastrointestinal haemorrhage Alimentary Pharmacology and Therapeutics, May 14, 2012 Clinical Article
351 Complete Remission of Pancreatic Pseudoaneurysm Rupture with Arterial Embolization in a Patient with Poor Risk for Surgery: A Case Report Case Reports in Gastroenterology, May 11, 2012
352 Successful Surgical Treatment of a Spontaneous Rupture of the Esophagus Diagnosed Two Days after Onset Case Reports in Gastroenterology, May 10, 2012
353 C-Reactive Protein and Procalcitonin Are Predictors of the Severity of Acute Appendicitis in Children Pediatric Emergency Care, May 7, 2012
354 Emergency Ultrasound of the Gall Bladder: Comparison of a Concentrated Elective Experience vs. Longitudinal Exposure During Residency The Journal of Emergency Medicine, May 3, 2012
355 Sigmoid volvulus in pregnancy and puerperium: a surgical and obstetric catastrophe Full Text World Journal of Emergency Surgery, May 3, 2012
356 Sigmoid volvulus treated by resection and primary anastomosis: urgent and elective conditions as risk factors for postoperative morbidity and mortality European Journal of Trauma and Emergency Surgery, May 1, 2012
357 Constipation and Nonspecific Abdominal Pain in Teenage Girls Referred for Emergency Surgical Consultation Journal of Pediatric Gastroenterology and Nutrition, April 24, 2012
358 Toll-like receptor-7 ligand imiquimod induces type I interferon and antimicrobial peptides to ameliorate dextran sodium sulfate-induced acute colitis Inflammatory Bowel Disease, April 24, 2012
359 Efficacy of Patient-controlled Analgesia for Patients With Acute Abdominal Pain in the Emergency Department: A Randomized Trial Academic Emergency Medicine, April 18, 2012
360 Abdominal aortic calcification in young adult survivors of childhood acute lymphoblastic leukemia Pediatric Blood & Cancer, April 17, 2012
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 20121 Clinical Practice Guidelines for Pediatric Appendicitis Evaluation Can Decrease Computed Tomography Utilization While Maintaining Diagnostic Accuracy Pediatric Emergency Care, May 6, 2013 Review Article
2 Valproic Acid-Induced Acute Pancreatitis and Multiorgan Failure in a Child Pediatric Emergency Care, May 6, 2013
3 Factors influencing clinical outcomes of Histoacryl glue injection-treated gastric variceal hemorrhage World Journal of Gastroenterology, May 6, 2013 Free full text
4 Prognosis following emergency surgery for ulcerative colitis in elderly patients Surgery Today, April 15, 2013
5 Comparison of Clinicians to Radiologists in Assessment of Abdominal Radiographs for Suspected Intussusception Pediatric Emergency Care, May 6, 2013
6 Hepatobiliary Oncologic Emergencies: Imaging Appearances and Therapeutic Options Current Problems in Diagnostic Radiology, May 20, 2013 Review Article
7 Characteristics of liver injury in drug-induced systemic hypersensitivity reactions Journal of the American Academy of Dermatology, May 3, 2013
8 Interobserver Agreement in the Clinical Assessment of Children With Blunt Abdominal Trauma Academic Emergency Medicine, May 15, 2013
9 Risk factors for early re-bleeding and associated hospitalisation in patients with colonic diverticular bleeding Colorectal Disease, April 15, 2013
10 Computed tomography findings for predicting severe acute hepatitis with prolonged cholestasis World Journal of Gastroenterology, May 14, 2013 Free full text Review Article
11 Laparoscopic Cholecystectomy in Acute Cholecystitis: C-Reactive Protein Level Combined With Age Predicts Conversion Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, May 1, 2013
12 Predictors of Failed Primary Abdominal Closure in the Trauma Patient with an Open Abdomen Southern Medical Journal, May 7, 2013 Review Article
13 Algorithm for the management of large abdominal wall defects due to laparostomy wounds following intra-abdominal catastrophe European Journal of Plastic Surgery, May 2, 2013 Review Article
14 Emergency management of pancreatic injury in a 5-year-old Advanced Emergency Nursing Journal , May 24, 2013
15 Treatment of late biliary stricture after blunt abdominal trauma European Journal of Gastroenterology & Hepatology, May 10, 2013 Review Article
16 Poor Sensitivity of a Modified Alvarado Score in Adults With Suspected Appendicitis Annals of Emergency Medicine, April 29, 2013
17 Stapled versus hand-sewn anastomoses in emergency general surgery: A retrospective review of outcomes in a unique patient population The Journal of Trauma and Acute Care Surgery, April 29, 2013 Evidence Based Medicine Review Article
18 Predictive factors for the diagnosis of severe acute cholecystitis in an emergency setting Surgical Endoscopy, April 11, 2013 Review Article
19 Appendix Not Seen: The Predictive Value of Secondary Inflammatory Sonographic Signs Pediatric Emergency Care, April 5, 2013 Review Article
20 A Multicenter Study of the Risk of Intra-Abdominal Injury in Children After Normal Abdominal Computed Tomography Scan Results in the Emergency Department Annals of Emergency Medicine, April 30, 2013
Indexed Journals in Emergency Medicine: Journal of Emergency Medicine, Annals of Emergency Medicine, Injury more
Other Topics in Emergency Medicine
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