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Emergency Medicine - Neurology/Neurosurgery 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 Full Text Articles (69)
Ranked, sorted, and summarized by MDLinx editors from the latest literature
Topics:

1 Determinants of timely management of acute bacterial meningitis in the ED The American Journal of Emergency Medicine, May 23, 2013    Review Article

2 Application of blood-based biomarkers in human mild traumatic brain injury Frontiers in Neurology, May 23, 2013    Review Article

3 Comparison of hypothermia and normothermia after severe traumatic brain injury in children (Cool Kids): a phase 3, randomised controlled trial The Lancet Neurology, May 22, 2013    Clinical Article

4 Pain in patients with traumatic spinal cord injury Journal of Musculoskeletal Pain , May 22, 2013    Review Article

5 Femoral Bone Marrow Adiposity and Cortical Bone Cross-sectional Areas in Men with Motor Complete Spinal Cord Injury PM&R, May 22, 2013    Clinical Article

6 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

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

8 Cognitive Impairment in Mild Traumatic Brain Injury: A Longitudinal Diffusional Kurtosis and Perfusion Imaging Study American Journal of Neuroradiology, May 21, 2013    Clinical Article

9 Sleep disorders in children with traumatic brain injury: a case of serious neglect Developmental Medicine & Child Neurology, May 20, 2013    Clinical Article

10 The Involvement of Programmed Cell Death 5 (PDCD5) in the Regulation of Apoptosis in Cerebral Ischemia/Reperfusion Injury CNS Neuroscience & Therapeutics, May 20, 2013    Review Article

11 Acute embolic cerebral ischemia as an initial presentation of polycythemia vera: a case report Full Text Journal of Medical Case Reports, May 20, 2013

12 The prognostic impact of the stroke unit concept after transient ischemic attack Clinical Neurology and Neurosurgery, May 17, 2013    Clinical Article

13 Validation of the San Francisco Syncope Rule in Two Hospital Emergency Departments in an Asian Population Academic Emergency Medicine, May 16, 2013    Clinical Article

14 A systematic framework to classify the status of research on spinal cord injury and physical activity Archives of Physical Medicine and Rehabilitation, May 16, 2013    Clinical Article

15 Repetitive Traumatic Brain Injury, Psychological Symptoms, and Suicide Risk in a Clinical Sample of Deployed Military Personnel JAMA Psychiatry, May 16, 2013    Clinical Article

16 Agreement Between Routine Emergency Department Care and Clinical Decision Support Recommended Care in Patients Evaluated for Mild Traumatic Brain Injury Academic Emergency Medicine, May 15, 2013    Clinical Article

17 Head Computed Tomographic measurement as an early predictor of outcome in hypoxic-ischemic brain damage patients treated with hypothermia therapy Full Text Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, May 15, 2013    Review Article

18 Plasma copeptin and long-term outcomes in acute ischemic stroke Acta Neurologica Scandinavica, May 14, 2013    Clinical Article

19 Impact of blood pressure changes and course on hematoma growth in acute intracerebral hemorrhage European Journal of Neurology, May 14, 2013    Clinical Article

20 Risk Factors for Pediatric Arachnoid Cyst Rupture/Hemorrhage: A Case-Control Study Neurosurgery, May 10, 2013    Clinical Article

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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 Interpreting Red Blood Cells in Lumbar Puncture: Distinguishing True Subarachnoid Hemorrhage From Traumatic Tap Academic Emergency Medicine, March 26, 2013

2 Results of an Outpatient Transient Ischemic Attack Evaluation: A 90-Day Follow-up Study The Journal of Emergency Medicine, March 26, 2013

3 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

4 Postconcussion Syndrome After Mild Traumatic Brain Injury in Children and Adolescents Requires Further Detailed Study Postconcussion Syndrome and Traumatic Brain Injury JAMA Neurology, April 12, 2013

5 A Case of Foreign Accent Syndrome The Journal of Emergency Medicine, April 1, 2013

6 Postconcussion syndrome (PCS) in the emergency department: predicting and pre-empting persistent symptoms following a mild traumatic brain injury Emergency Medicine Journal, March 14, 2013    Review Article

7 Effectiveness of the particle repositioning maneuver for benign positional vertigo following traumatic brain injury British Journal of Sports Medicine, March 29, 2013

8 Repeat head computed tomography after minimal brain injury identifies the need for craniotomy in the absence of neurologic change The Journal of Trauma and Acute Care Surgery, April 3, 2013    Review Article

9 Effect of diabetes mellitus on outcome in patients with traumatic brain injury: A national trauma databank analysis Brain Injury, April 3, 2013

10 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

11 Acute Subdural Hematoma without Subarachnoid Hemorrhage or Intraparenchymal Hematoma Caused by Rupture of a Posterior Communicating Artery Aneurysm: Case Report and Review of the Literature The Journal of Emergency Medicine, April 5, 2013

12 Changes in Sleep Patterns Following Traumatic Brain Injury: A Controlled Study Neurorehabilitation and Neural Repair, April 17, 2013    Review Article

13 Inability of S100B to Predict Postconcussion Syndrome in Children Who Present to the Emergency Department With Mild Traumatic Brain Injury: A Brief Report Pediatric Emergency Care, April 10, 2013

14 Special tools for the assessment of balance and dizziness in individuals with mild taumatic brain injury NeuroRehabilitation, April 15, 2013

15 Syncope Risk Assessment in the Emergency Department and Clinic Progress in Cardiovascular Diseases , March 18, 2013

16 Relationship Between Time from Ambulance Call to Arrival at Emergency Center and Level of Consciousness at Admission in Severe Stroke Patients Prehospital and Disaster Medicine, March 26, 2013

17 A 6-Year-Old Girl with Fever, Rash, and Increased Intracranial Pressure The Journal of Emergency Medicine, March 4, 2013

18 Hydrogen Peroxide Solution Ingestion Caused Brain Death of a 3-Year-Old Girl Pediatric Emergency Care, April 9, 2013

19 Clinical Factors Associated With Invasive Testing and Imaging in Patients With Complex Febrile Seizures Pediatric Emergency Care, April 5, 2013    Review Article

20 Intracranial Pressure Dose and Outcome in Traumatic Brain Injury Neurocritical Care , February 28, 2013

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

Other Topics in Emergency Medicine

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