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Emergency Medicine - Substance Abuse 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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Articles
Latest Full Text Articles (15)181 Prevalence of alcohol and other substances of abuse among injured patients in a Norwegian emergency department Drug and Alcohol Dependence, August 8, 2011
182 Implementing Evidence-Based Changes in Emergency Department Treatment: Alternative Vitamin Therapy for Alcohol-Related Illnesses Full Text Annals of Emergency Medicine, August 2, 2011 Evidence Based Medicine
183 Patients with minor injuries in a Berlin inner-city emergency room Substance misuse, residential area, and sociodemographics Intensivmedizin und Notfallmedizin, July 26, 2011
184 Instruments to Detect Alcohol and Other Drug Misuse in the Emergency Department: A Systematic Review Full Text Pediatrics, July 25, 2011
185 Self-reported Alcohol Use is an Independent Risk Factor for Head and Brain Injury among Cyclists but Does Not Confound Helmets Protective Effect The Journal of Emergency Medicine, July 21, 2011
186 Risk factors for all-cause, overdose and early deaths after release from prison in Washington state Drug and Alcohol Dependence, July 18, 2011
187 Alcohol use disorders in the emergency ward: choice of the best mode of assessment and identification of at-risk situations International Journal of Emergency Medicine, July 12, 2011
188 Reduction in Acute Myocardial Infarction Hospitalization after Implementation of a Smoking Ordinance American Journal of Medicine, July 11, 2011
189 Characteristics and predictors of readiness to quit among emergency medical patients presenting with respiratory symptoms International Journal of Emergency Medicine, July 5, 2011
190 Alcohol and distraction interact to impair driving performance Drug and Alcohol Dependence, June 30, 2011
191 Bupropion for Smoking Cessation in Patients With Acute Coronary Syndrome Full Text JAMA Internal Medicine, June 28, 2011 Clinical Article
192 Fetal Effects of Anticonvulsant Polytherapies: Different Risks From Different Drug Combinations JAMA Neurology, June 27, 2011
193 Methanol intoxication causing putaminal necrosis Journal of Emergencies, Trauma and Shock, June 20, 2011
194 A Randomized Trial of a Multicomponent Cessation Strategy for Emergency Department Smokers Academic Emergency Medicine, June 16, 2011
195 Mortality rate among crack/cocaine-dependent patients: A 12-year prospective cohort study conducted in Brazil Journal of Substance Abuse Treatment, June 14, 2011
196 Drug violations and aviation accidents: findings from the US mandatory drug testing programs Addiction, June 13, 2011
197 Pulmonary Function in a Cohort of New York City Police Department Emergency Responders Since the 2001 World Trade Center Disaster Journal of Occupational and Environmental Medicine, June 9, 2011
198 Motivational interviewing for substance abuse Cochrane Reviews, June 7, 2011
199 Acute effects of waterpipe tobacco smoking: A double-blind, placebo-control study Drug and Alcohol Dependence, June 7, 2011
200 Mental health and unintentional injurers: results from the national co-morbidity survey replication Injury Prevention, June 3, 2011
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 Octreotide for the Treatment of Hypoglycemia After Insulin Glargine Overdose The Journal of Emergency Medicine, May 14, 2013
2 Death caused by ingestion of an ethanol-based hand sanitizer The Journal of Emergency Medicine, May 28, 2013
3
Screening for At-Risk Alcohol Use and Drug Use in an Emergency Department: Integration of Screening Questions Into Electronic Triage Forms Achieves High Screening Rates
Annals of Emergency Medicine, May 21, 2013
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4 A rational approach to the treatment of alcohol withdrawal in the ED The American Journal of Emergency Medicine, February 13, 2013 Review Article
5 Critical Care Management of Verapamil and Diltiazem Overdose With a Focus on Vasopressors: A 25-Year Experience at a Single Center Annals of Emergency Medicine, May 6, 2013 Review Article
6 Alcohol use disorders and drinking among survivors of the 9/11 attacks on the World Trade Center in New York City Comprehensive Psychiatry, May 13, 2013
7 Acute Alcohol Intoxication Characteristics in Children Alcohol and Alcoholism , May 2, 2013 Review Article
8 A 9-State Analysis of Designer Stimulant, Bath Salt, Hospital Visits Reported to Poison Control Centers Annals of Emergency Medicine, March 29, 2013 Review Article
9 Blood alcohol concentration and self-reported alcohol ingestion in acute poisoned patients who visited an emergency department Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, April 11, 2013 Free full text Review Article
10 Recreational drug abuse in patients hospitalized for diabetic ketosis or diabetic ketoacidosis Acta Diabetologia, April 29, 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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