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Emergency Medicine - Psychiatry 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 (4) Full Text Articles (24)
Ranked, sorted, and summarized by MDLinx editors from the latest literature
Topics:

181 What are the effects of having an illness or injury whilst deployed on post deployment mental health? A population based record linkage study of UK Army personnel who have served in Iraq or Afghanistan Full Text BMC Psychiatry, October 29, 2012

182 Mental health problems among search and rescue workers deployed in the Haiti earthquake 2010: A pre-post comparison Psychiatry Research, October 25, 2012

183 Alexithymia and Posttraumatic Stress Disorder Following Asthma Attack Psychiatric Quarterly, October 24, 2012

184 Potential impact of propofol immediately after motor vehicle accident on later symptoms of posttraumatic stress disorder at 6-month follow up: a retrospective cohort study Critical Care, October 23, 2012

185 The Effectiveness of Psychological First Aid as a Disaster Intervention Tool: Research Analysis of Peer-Reviewed Literature From 1990-2010 Disaster Medicine and Public Health Preparedness, October 18, 2012

186 Simultaneous determination of new-generation antidepressants in plasma by gas chromatography-mass spectrometry Forensic Toxicology, October 18, 2012

187 Exposure to traumatic events, prevalence of posttraumatic stress disorder and alcohol abuse in Aboriginal communities Full Text Rural and Remote Health, October 17, 2012

188 Farmers' stress and coping in a time of drought Full Text Rural and Remote Health, October 17, 2012

189 Dissociation in Posttraumatic Stress Disorder: Evidence from the World Mental Health Surveys Biological Psychiatry, October 16, 2012

190 Prevalence of suicidality in asymptomatic adolescents in the paediatric emergency department and utility of a screening tool Emergency Medicine Australasia, October 15, 2012

191 Significant Toxicity in a Young Female After Low-Dose Tricyclic Antidepressant Ingestion Pediatric Emergency Care, October 12, 2012

192 The Association Between Trauma and Chronic Medical Conditions in Individuals With Severe Mental Illness The Journal of Nervous and Mental Disease, October 11, 2012

193 Validity of suicide statistics in Europe in relation to undetermined deaths: developing the 2-20 benchmark Injury Prevention, October 8, 2012

194 Screening for Adolescent Anxiety Disorders in a Pediatric Emergency Department Pediatric Emergency Care, October 5, 2012

195 Literature-based Recommendations for Suicide Assessment in the Emergency Department: A Review The Journal of Emergency Medicine, October 5, 2012

196 Mental disorder as a risk factor for dog bites and post-bite cellulitis Injury, October 1, 2012

197 Survivors of Torture: Prevalence in an Urban Emergency Department Academic Emergency Medicine, September 26, 2012

198 Disaster exposure as a risk factor for mental health problems, eighteen months, four and ten years post-disaster -- a longitudinal study Full Text BMC Psychiatry, September 24, 2012

199 Effects of poly-victimization on self-esteem and post-traumatic stress symptoms in Spanish adolescents European Child and Adolescent Psychiatry, September 20, 2012

200 Impact of stimulation dose and personality on autonomic and psychological effects induced by acupuncture Autonomic Neuroscience: Basic and Clinical, September 18, 2012

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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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