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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)81 Headache Characteristics in Addicts During Substance Abuse, Withdrawal and Rehabilitation Full Text Journal of Neurological Sciences (Turkish), October 4, 2012 Clinical Article
82 Alcohols involvement in recurrent child abuse and neglect cases Addiction, October 1, 2012
83 Phenobarbital for Acute Alcohol Withdrawal: A Prospective Randomized Double-blind Placebo-controlled Study The Journal of Emergency Medicine, September 24, 2012 Clinical Article
84 Time-Dependent Negative Reinforcement of Ethanol Intake by Alleviation of Acute Withdrawal Biological Psychiatry, September 24, 2012
85 A Randomized Controlled Trial of Brief Intervention for Problem Alcohol Use in Persons With Traumatic Brain Injury Journal of Head Trauma Rehabilitation, September 14, 2012
86 Alcohol, psychoactive substances and non-fatal road traffic accidents - a case-control study Full Text BMC Public Health, September 13, 2012
87 Ten-Year Trends in Intoxications and Requests for Emergency Ambulance Service Prehospital Emergency Care, September 7, 2012
88 Improving adherence to ante-retroviral treatment for people with harmful alcohol use in Kariobangi, Kenya through participatory research and action Full Text BMC Public Health, September 4, 2012
89 National audit of antidote stocking in acute hospitals in the UK Emergency Medicine Journal, August 29, 2012
90 Alcohol: signs of improvement. The 2nd national Emergency Department survey of alcohol identification and intervention activity Emergency Medicine Journal, August 22, 2012
91 Risk and protective factors associated with gang affiliation among high-risk youth: a public health approach Injury Prevention, August 16, 2012
92 Alcohol consumption and digestive tract cancer Current Opinion in Clinical Nutrition & Metabolic Care, August 15, 2012
93 Sensitivity, Specificity and Diagnostic Efficiency of Serum Sialic Acid as a Biochemical Marker in Alcohol Abuse Full Text British Journal of Medical Practitioners, August 10, 2012
94 A cross-sectional study of emergency department visits by people who inject drugs Emergency Medicine Journal, August 3, 2012
95 Sex Differences in Alcohol Misuse and Estimated Blood Alcohol Concentrations Among Emergency Department Patients: Implications for Brief Interventions Academic Emergency Medicine, August 2, 2012
96 Alcohol and psychoactive drugs increased the pre-hospital mortality in 655 fall-related fatalities in Greece: A call for management protocols Injury, July 31, 2012
97 Aminorex poisoning in cocaine abusers International Journal of Cardiology, July 24, 2012
98 A national service evaluation of the impact of alcohol on admissions to Scottish intensive care units Anaesthesia, July 23, 2012
99 Alteration of Glutamate/GABA Balance During Acute Alcohol Withdrawal in Emergency Department: A Prospective Analysis Alcohol and Alcoholism , July 16, 2012
100 Efficacy of an emergency department-based multicomponent intervention for smokers with substance use disorders Journal of Substance Abuse Treatment, July 10, 2012
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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