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Emergency Medicine - Infectious Disease 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 (1) Full Text Articles (43)41 Antimicrobial susceptibility of bacterial isolates from burn units in Gaza Burns, May 14, 2013 Clinical Article
42 Occurrence of Serious Bacterial Infection in Infants Aged 60 Days or Younger With an Apparent Life-Threatening Event Pediatric Emergency Care, May 13, 2013 Review Article
43 The impact of antibiotic impregnated PICC lines on the incidence of bacteremia in a regional burn center Burns, May 9, 2013 Clinical Article
44 Outcome predictors of uncomplicated sepsis Full Text International Journal of Emergency Medicine, May 8, 2013 Clinical Article
45 Is There a Relationship Between Hygiene Practices and Skin and Soft Tissue Infections in Diapered Children? Pediatric Emergency Care, May 7, 2013 Clinical Article
46 Value of Rapid Antigen Test for Pandemic Influenza A (H1N1) 2009 in the Pediatric Emergency Department Pediatric Emergency Care, May 6, 2013 Review Article
47 National Trends in Emergency Department Use of Urinalysis, Complete Blood Count, and Blood Culture for Fever Without a Source Among Children Aged 2 to 24 Months in the Pneumococcal Conjugate Vaccine 7 Era Pediatric Emergency Care, May 6, 2013 Clinical Article
48 Prevalence of methicillin-resistant Staphylococcus aureus in skin and soft tissue infections in patients presenting to Canadian emergency departments Canadian Journal of Emergency Medicine, May 3, 2013 Clinical Article
49 Using a combined nursing and medical approach to reduce the incidence of central line associated bacteraemia in a New Zealand critical care unit: A clinical audit Intensive and Critical Care Nursing, May 3, 2013
50 Systemic CA-MRSA infection following trauma during soccer match in inner Brazil: clinical and molecular characterization Diagnostic Microbiology and Infectious Disease, May 1, 2013
51 A risk stratification model of acute pyelonephritis to indicate hospital admission from the ED The American Journal of Emergency Medicine, April 30, 2013 Clinical Article
52 Epidemiology of infections in a Burn Unit, Albania Burns, April 30, 2013 Clinical Article
53 Mortality in Emergency Department Sepsis score as a prognostic indicator in patients with pyogenic liver abscess The American Journal of Emergency Medicine, April 29, 2013 Review Article
54 Early non-aneurysmal infectious aortitis: Cross-sectional imaging diagnosis Full Text Journal of Emergencies, Trauma and Shock, April 26, 2013 Clinical Article
55 Loose bodies in right elbow joint: Post traumatic? or post infective? Full Text Journal of Emergencies, Trauma and Shock, April 25, 2013
56 Clostridium septicum gas gangrene in a previously healthy 8-year-old female with survival Journal of Pediatric Surgery, April 24, 2013
57 Pharmacokinetics of Doripenem in Infected Patients Treated Within and Outside the Intensive Care Unit Annals of Pharmacotherapy, April 22, 2013 Clinical Article
58 Role of procalcitonin in the diagnosis of infective endocarditis: a meta-analysis The American Journal of Emergency Medicine, April 19, 2013 Evidence Based Medicine
59 Impact of Seasonal and Pandemic Influenza on Emergency Department Visits, 2003-2010, Ontario, Canada Academic Emergency Medicine, April 19, 2013 Review Article
60 Usefulness of a selective neutrophil elastase inhibitor, sivelestat, in acute lung injury patients with sepsis Full Text Drug Design, Development and Therapy, April 18, 2013 Clinical Article
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 Determinants of timely management of acute bacterial meningitis in the ED The American Journal of Emergency Medicine, May 23, 2013 Review Article
2 Occurrence of Serious Bacterial Infection in Infants Aged 60 Days or Younger With an Apparent Life-Threatening Event Pediatric Emergency Care, May 13, 2013 Review Article
3 Hantavirus infection in North America: a clinical review The American Journal of Emergency Medicine, May 16, 2013 Review Article
4 Shock Index and Early Recognition of Sepsis in the Emergency Department: Pilot Study Western Journal of Emergency Medicine, March 26, 2013
5 Systemic CA-MRSA infection following trauma during soccer match in inner Brazil: clinical and molecular characterization Diagnostic Microbiology and Infectious Disease, May 1, 2013
6 Utilization Patterns and Outcomes Associated With Central Venous Catheter in Septic Shock: A Population-Based Study Critical Care Medicine, May 21, 2013
7 A home-based exercise intervention to increase physical activity among people living with HIV: study design of a randomized clinical trial BMC Public Health, May 28, 2013 Free full text
8 Multicenter Observational Study of the Development of Progressive Organ Dysfunction and Therapeutic Interventions in Normotensive Sepsis Patients in the Emergency Department Academic Emergency Medicine, May 15, 2013
9 A risk stratification model of acute pyelonephritis to indicate hospital admission from the ED The American Journal of Emergency Medicine, April 30, 2013
10 Continuous versus intermittent infusions of antibiotics for the treatment of severe acute infections Cochrane Reviews, April 15, 2013 Review Article
11 The prevalence of methicillin resistant Staphylococcus aureus (MRSA) isolates with high-level mupirocin resistance from patients and personnel in a burn center Burns, April 4, 2013 Review Article
12 Using a combined nursing and medical approach to reduce the incidence of central line associated bacteraemia in a New Zealand critical care unit: A clinical audit Intensive and Critical Care Nursing, May 3, 2013
13 Prevalence of methicillin-resistant Staphylococcus aureus in skin and soft tissue infections in patients presenting to Canadian emergency departments Canadian Journal of Emergency Medicine, May 3, 2013
14 De-escalation of antimicrobial treatment for adults with sepsis, severe sepsis or septic shock Cochrane Reviews, April 11, 2013 Review Article
15 Outcome predictors of uncomplicated sepsis International Journal of Emergency Medicine, May 8, 2013 Free full text
16 Is There a Relationship Between Hygiene Practices and Skin and Soft Tissue Infections in Diapered Children? Pediatric Emergency Care, May 7, 2013
17 National Trends in Emergency Department Use of Urinalysis, Complete Blood Count, and Blood Culture for Fever Without a Source Among Children Aged 2 to 24 Months in the Pneumococcal Conjugate Vaccine 7 Era Pediatric Emergency Care, May 6, 2013
18 Rapid Emergency Medicine Score as a main predictor of mortality in Vibrio vulnificus-related patients The American Journal of Emergency Medicine, May 23, 2013 Review Article
19 Lack of clinically evident signs of organ failure affects ED treatment of patients with severe sepsis International Journal of Emergency Medicine, March 15, 2013 Free full text Review Article
20
Blood pressure cuffs as a vector for transmission of multi-resistant organisms: Colonisation rates and effects of disinfection
Emergency Medicine Australasia, May 21, 2013
Review Article
Exclusive Author Commentary
Indexed Journals in Emergency Medicine: Journal of Emergency Medicine, Annals of Emergency Medicine, Injury more
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