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Emergency Medicine - Endocrine/Metabolic 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.
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Your Unread Messages in Emergency Medicine
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Mortality rate less in obese patients with sepsis
Articles
Latest Full Text Articles (10)81 Preventing and managing hyperglycemia in kidney transplant patients Current Opinion in Nephrology and Hypertension, November 13, 2012
82 Prevalence and correlates of hyperglycemia in a rural population, Vietnam: implications from a cross - sectional study Full Text BMC Public Health, November 6, 2012
83 Acute kidney injury after ingestion of rhubarb: secondary oxalate nephropathy in a patient with type 1 diabetes (case report) BMC Nephrology, November 2, 2012
84 Disease severity is associated with the use of complementary medicine to treat or manage type-2 diabetes: data from the 2002 and 2007 National Health Interview Survey Full Text BMC Complementary and Alternative Medicine, October 26, 2012 Clinical Article
85 Postprandial Hyperglycemia Corrected by IGF-I (Increlex) in Laron Syndrome Hormone Research in Paediatrics, October 24, 2012
86 Effects of Dynamic Temperature and Humidity Stresses on Point-of-Care Glucose Testing for Disaster Care Disaster Medicine and Public Health Preparedness, October 22, 2012
87 Incidence and costs of severe hypoglycaemia requiring attendance by the emergency medical services in South Central England Diabetic Medicine, October 15, 2012
88 Refractory cardiogenic shock in an infant with congenital hypothyroidism Full Text Indian Journal of Critical Care Medicine, October 9, 2012
89 Effect of different blood glucose target levels on the incidence of hypoglycemia during insulin therapy in the intensive care unit Journal of Diabetes, October 5, 2012
90 Early insulin resistance in severe trauma without head injury as outcome predictor? A prospective, monocentric pilot study Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, October 3, 2012
91 Hospital use and medical care costs up to 5 years after triglyceride lowering among patients with severe hypertriglyceridemia Journal of Clinical Lipidology, October 2, 2012
92 Effect of primary percutaneous coronary intervention on stress hyperglycaemia in myocardial infarction Diabetic Medicine, September 27, 2012
93 Pathophysiology and management strategies for hyperglycemia for patients with acute illness during and following a hospital stay Metabolism, September 25, 2012
94 The use of end-tidal carbon dioxide monitoring in patients with hypotension in the emergency department International Journal of Emergency Medicine, September 24, 2012
95 Long-term renal outcomes of episodic urinary tract infection in diabetic patients Journal of Diabetes and its Complications, September 20, 2012 Clinical Article
96 Transient hyperglycaemia - an underestimated problem of paediatric oncohaematology Archives of Medical Science, September 14, 2012
97 Hospitalised hip fracture risk with rosiglitazone and pioglitazone use compared with other glucose-lowering drugs Diabetologia - Clinical and Experimental Diabetes and Metabolism, September 7, 2012
98 Hyperglycaemia monitoring and management in stroke care: policy vs. practice Diabetic Medicine, September 6, 2012 Clinical Article
99 Hyperglycemia induced and intrinsic alterations in type 2 diabetes-derived osteoclast function Oral Diseases , September 5, 2012
100 A 10-Year Review of Lower Extremity Burns in Diabetics: Small Burns That Lead to Major Problems Journal of Burn Care & Research, August 29, 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 Elevated blood glucose levels in the emergency department: missed opportunities Journal of Emergency Nursing, April 1, 2013
2 Impact of Race on the Incidence of Hypoglycemia in Hospitalized Older Adults With Type 2 Diabetes Clinical Diabetes, April 18, 2013 Free full text
3 Recreational drug abuse in patients hospitalized for diabetic ketosis or diabetic ketoacidosis Acta Diabetologia, April 29, 2013 Review Article
4 Diabetes Is Not Associated With Increased Mortality in Emergency Department Patients With Sepsis Annals of Emergency Medicine, June 20, 2011
5 Comparison of the Efficacy and Safety of Two Different Insulin Infusion Protocols in the Medical Intensive Care Unit Hospital Pharmacy, March 15, 2013
6 Glucagonlike Peptide 1–Based Therapies and Risk of Hospitalization for Acute Pancreatitis in Type 2 Diabetes Mellitus: A Population-Based Matched Case-Control Study JAMA Internal Medicine, March 1, 2013 Evidence Based Medicine
7 The impact of hypoglycaemia on patients admitted to hospital with medical emergencies Diabetic Medicine, February 11, 2013
8 The high incidence of steroid-induced hyperglycaemia in hospital Diabetes Research and Clinical Practice, February 27, 2013 Review Article
9 The Stroke Hyperglycemia Insulin Network Effort (SHINE) trial protocol: a randomized, blinded, efficacy trial of standard vs. intensive hyperglycemia management in acute stroke International Journal of Stroke, April 3, 2013
10 Predicting the hyperglycemic crisis death (PHD) score: a new decision rule for emergency and critical care The American Journal of Emergency Medicine, April 23, 2013 Review Article
11 Comparison of Prasugrel and Ticagrelor Loading Doses in ST-Segment Elevation Myocardial Infarction Patients RAPID (Rapid Activity of Platelet Inhibitor Drugs) Primary PCI Study JACC - Journal of the American College of Cardiology, April 12, 2013
Indexed Journals in Emergency Medicine: Journal of Emergency Medicine, Annals of Emergency Medicine, Injury more
Other Topics in Emergency Medicine
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