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Emergency Medicine - Pain Management 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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Your Unread Messages in Emergency Medicine

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Articles

Latest (2) Full Text Articles (28)
Ranked, sorted, and summarized by MDLinx editors from the latest literature
Topics:

1 Validation of the vancouver chest pain rule using troponin as the only biomarker: a prospective cohort study The American Journal of Emergency Medicine, May 24, 2013    Clinical Article

2 Comparison of success and pain levels of supination-flexion and hyperpronation maneuvers in childhood nursemaid's elbow cases The American Journal of Emergency Medicine, May 24, 2013    Clinical Article

Prior Articles

3 Efficacy and safety of low-dose subcutaneous diclofenac in the management of acute pain: a randomized double-blind trial Pain Practice, May 23, 2013    Clinical Article

4 Effect of spinal immobilization on heart rate, blood pressure and respiratory rate Prehospital and Disaster Medicine, May 22, 2013    Clinical Article

5 Randomized Clinical Trial of the 2 mg Hydromorphone Bolus Protocol Versus the “1+1” Hydromorphone Titration Protocol in Treatment of Acute, Severe Pain in the First Hour of Emergency Department Presentation Annals of Emergency Medicine, May 21, 2013    Clinical Article

6 Yield of Routine Provocative Cardiac Testing Among Patients in an Emergency Department–Based Chest Pain Unit: Yield of Stress Testing in Emergency Department Observation Units JAMA Internal Medicine, May 21, 2013    Evidence Based Medicine    Clinical Article

7 Procedural sedation and analgesia for reduction of distal forearm fractures in the paediatric emergency department: A clinical survey Emergency Medicine Australasia, May 21, 2013    Clinical Article

8 Male chronic pelvic pain syndrome and the role of interdisciplinary pain management World Journal of Urology, May 21, 2013

9 Health related quality of life, reoperation rate and function in patients with diabetes mellitus and hip fracture--A 2 year follow-up study Injury, May 17, 2013    Review Article

10 Expulsive therapy versus early endoscopic stone removal in acute renal colic: a comparison of indirect costs Urology Times, May 15, 2013    Clinical Article

11 Prehospital analgesia using nasal administration of S-ketamine -- a case series Full Text Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, May 15, 2013

12 Residual Limb Pain Is Not a Diagnosis: A Proposed Algorithm to Classify Postamputation Pain The Clinical Journal of Pain, May 13, 2013    Evidence Based Medicine    Review Article

13 Acute labio-scrotal pain in a patient with ovotesticular syndrome. Case report Journal of Pediatric Urology, May 13, 2013

14 Bee venom acupuncture point injection for central post stroke pain: A preliminary single-blind randomized controlled trial Complementary Therapies in Medicine, May 10, 2013    Clinical Article

15 Acute Pain Control Challenges with Buprenorphine/Naloxone Therapy in a Patient with Compartment Syndrome Secondary to McArdles Disease: A Case Report and Review Pain Medicine, May 10, 2013    Review Article

16 Behavioral pain assessment tool for critically ill adults unable to self-report pain American Journal of Critical Care, May 9, 2013    Clinical Article

17 Effects of puerarin on the inflammatory role of burn-related procedural pain mediated by P2X7 receptors Burns, May 9, 2013    Clinical Article

18 Hyperkalemia and Ventricular Tachycardia After Outpatient Ureteral Valve Reimplantation: A Case Report Pediatric Emergency Care, May 9, 2013

19 An Unusual Case of Neck Pain Pediatric Emergency Care, May 8, 2013

20 Improvement of burn pain management through routine pain monitoring and pain management protocol Burns, May 7, 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 Effective analgesia with low-dose ketamine and reduced dose hydromorphone in ED patients with severe pain The American Journal of Emergency Medicine, April 23, 2013

2 Acute Onset of Retrosternal and Epigastric Pain JAMA, March 11, 2013

3 Ultrasound guidance for radial arterial puncture: a randomized controlled trial The American Journal of Emergency Medicine, March 29, 2013

4 Do implementation strategies increase adherence to pain assessment in hospitals? A systematic review International Journal of Nursing Studies, March 26, 2013    Evidence Based Medicine    Review Article

5 Effect of Subcutaneous Epinephrine/Saline/Local Anesthetic Versus Saline-Only Injection on Split-Thickness Skin Graft Donor Site Perfusion, Healing, and Pain Journal of Burn Care & Research, April 3, 2013    Review Article

6 Morphine Versus Fentanyl for Pain Due to Traumatic Injury in the Emergency Department Journal of Trauma Nursing, March 15, 2013

7 Acute pain management in the opioid-tolerant patient Pain Management, January 2, 2013

8 Race, Ethnicity, and Analgesia Provision at Discharge Among Children With Long-Bone Fractures Requiring Emergency Care Pediatric Emergency Care, April 9, 2013    Review Article

9 Unintentional Prescription Opioid-Related Overdose Deaths: Description of Decedents by Next of Kin or Best Contact, Utah, 2008-2009 Journal of General Internal Medicine, April 5, 2013    Review Article

10 Translation and psychometric evaluation of Persian versions of Burn Specific Pain Anxiety Scale and Impact of Event Scale Burns, April 16, 2013

11 A qualitative study of the barriers to prehospital management of acute pain in children Emergency Medicine Journal, April 4, 2013

12 Different strokes for different folks Journal of Emergencies, Trauma and Shock, April 25, 2013    Free full text

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

Other Topics in Emergency Medicine

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