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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)161 Postoperative delirium- detection, prevention and treatment European Journal of Anaesthesiology, September 16, 2011
162 Cannabinoid Hyperemesis Syndrome: Literature Review and Proposed Diagnosis and Treatment Algorithm Southern Medical Journal, September 8, 2011
163 Prevalence and incidence of ocular trauma in North China: the Beijing Eye Study Acta Ophthalmologica, September 6, 2011
164 Methodological issues in evaluating auricular acupuncture therapy for problems arising from the use of drugs and alcohol Acupuncture in Medicine, September 6, 2011
165 Bilateral testicular self-castration due to cannabis abuse: a case report Full Text Journal of Medical Case Reports, August 29, 2011
166 Alcohol screening and brief intervention among drug users in primary care: a discussion paper Irish Journal of Medical Science, August 29, 2011
167 Alcohol-related injury visits: Do we know the true prevalence in U.S. trauma centres Full Text Injury, August 26, 2011
168 Reinforcement of Smoking and Drinking: Tobacco Marketing Strategies Linked With Alcohol in the United States American Journal of Public Health, August 26, 2011
169 Acute coronary ischemia during alcohol withdrawal: a case report Full Text Journal of Medical Case Reports, August 23, 2011
170 Alcohol Has a Dose-Related Effect on Parasympathetic Nerve Activity During Sleep Alcoholism: Clinical and Experimental Research, August 18, 2011
171 Hazardous alcohol use interventions with emergency patients: Self-reported practices of nurses, and predictors of behaviour Full Text Emergency Medicine Australasia, August 12, 2011
172 Adolescents and Young Adults Presenting to the Emergency Department Intoxicated From a Caffeinated Alcoholic Beverage: A Case Series Annals of Emergency Medicine, August 9, 2011
173 Prevalence of alcohol and other substances of abuse among injured patients in a Norwegian emergency department Drug and Alcohol Dependence, August 8, 2011
174 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
175 Patients with minor injuries in a Berlin inner-city emergency room Substance misuse, residential area, and sociodemographics Intensivmedizin und Notfallmedizin, July 26, 2011
176 Instruments to Detect Alcohol and Other Drug Misuse in the Emergency Department: A Systematic Review Full Text Pediatrics, July 25, 2011
177 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
178 Risk factors for all-cause, overdose and early deaths after release from prison in Washington state Drug and Alcohol Dependence, July 18, 2011
179 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
180 Reduction in Acute Myocardial Infarction Hospitalization after Implementation of a Smoking Ordinance American Journal of Medicine, July 11, 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 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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