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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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Your Unread Messages in Emergency Medicine
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Articles
Latest Full Text Articles (15)401 An Exploratory Study of Substance Use and Misuse Among College Students With and Without ADHD and Other Disabilities Journal of Attention Disorders, May 19, 2010
402 Substance abuse during pregnancy: effect on pregnancy outcomes European Journal of Obstetrics & Gynecology and Reproductive Biology, May 18, 2010
403 Quantifying Alcohol-Related Mortality: Should Alcohol-Related Contributory Causes of Death be Included Alcohol and Alcoholism , May 18, 2010
404 Alcoholism and Traumatic Subarachnoid Hemorrhage: An Experimental Study on Vascular Morphology and Biomechanics The Journal of Trauma and Acute Care Surgery, May 14, 2010
405 Adherence to treatment for tobacco dependence: Association with smoking abstinence and predictors of adherence Nicotine & Tobacco Research, May 14, 2010
406 Risk perception and smoking behavior in medically ill smokers: a prospective study Addiction, May 13, 2010
407 The epidemiology of cannabis use and cannabis-related harm in Australia 1993-2007 Addiction, May 13, 2010
408 Predicting Therapeutic Alliance in Clients With Psychosis and Substance Misuse The Journal of Nervous and Mental Disease, May 12, 2010
409 Effects of a community intervention to reduce the serving of alcohol to intoxicated patrons Addiction, May 12, 2010
410 Ambient temperature and risk of death from accidental drug overdose in New York City, 1990-2006 Addiction, May 12, 2010
411 Cannabinoid hyperemesis Canadian Journal of Gastroenterology, May 12, 2010
412 Acute physiologic effects of secondhand smoke exposure in children Nicotine & Tobacco Research, May 10, 2010
413 Physical Health and Drinking Among Medical Inpatients With Unhealthy Alcohol Use: A Prospective Study1 Alcoholism: Clinical and Experimental Research, May 7, 2010
414
Changing futures: premature discharges of alcohol or opioid detoxification in-patients, service improvement
The Psychiatrist, May 6, 2010
Exclusive Author Commentary
415 Long-term Alcohol Consumption Increases Pro-Matrix Metalloproteinase-9 Levels via Oxidative Stress Journal of Medical Toxicology, May 3, 2010
416 Striatal Dysfunction Marks Preexisting Risk and Medial Prefrontal Dysfunction Is Related to Problem Drinking in Children of Alcoholics Biological Psychiatry, April 28, 2010
417 The Remarkably High Prevalence of Epilepsy and Seizure History in Fetal Alcohol Spectrum Disorders Alcoholism: Clinical and Experimental Research, April 21, 2010
418 The Relationship Between Self-Reported Drinking and BAC Level in Emergency Room Injury Cases: Is it a Straight Line? Alcoholism: Clinical and Experimental Research, April 21, 2010
419 Denial of smoking-related risk among pregnant smokers Acta Obstetricia et Gynecologica Scandinavica, April 19, 2010
420 Patterns of tobacco exposure before and during pregnancy Acta Obstetricia et Gynecologica Scandinavica, April 19, 2010
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 Medicine Articles
Last month's top read Top Articles of 20121 A rational approach to the treatment of alcohol withdrawal in the ED The American Journal of Emergency Medicine, February 13, 2013 Review Article
2 High Times, Low Sats: Diffuse Pulmonary Infiltrates Associated with Chronic Synthetic Cannabinoid Use Journal of Medical Toxicology, April 1, 2013
3 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
4 Does Opiate Use in Traumatically Injured Individuals Worsen Pain and Psychological Outcomes? The Journal of Pain, April 19, 2013
5 Over-prescribing of antibiotics and imaging in the management of uncomplicated URIs in emergency departments BMC Emergency Medicine, April 18, 2013 Free full text
6 The Role of Race/Ethnicity in Alcohol-attributable Injury in the United States Epidemiologic Reviews, February 20, 2013 Review Article
7 Recreational drug abuse in patients hospitalized for diabetic ketosis or diabetic ketoacidosis Acta Diabetologia, April 29, 2013 Review Article
8 The effects of motivational interviewing on patients with comorbid substance use admitted to a psychiatric emergency unit - a randomised controlled trial with two year follow-up BMC Psychiatry, March 22, 2013 Free full text
9 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
Indexed Journals in Emergency Medicine: Journal of Emergency Medicine, Annals of Emergency Medicine, Injury more
Other Topics in Emergency Medicine
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