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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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Articles

Latest (2) Full Text Articles (10)
Ranked, sorted, and summarized by MDLinx editors from the latest literature
Topics:

981 Loss of Endothelial Glycocalyx During Acute Hyperglycemia Coincides With Endothelial Dysfunction and Coagulation Activation In Vivo Full Text Diabetes, February 1, 2006

982 The incidence and pathophysiology of hyponatraemia after subarachnoid haemorrhage Clinical Endocrinology, January 31, 2006

983 Malignant Hyperthermia Following Systemic Rewarming After Hypothermic Cardiopulmonary Bypass Full Text Anesthesia & Analgesia, January 31, 2006

984 Septic Shock and Sepsis: A Comparison of Total and Free Plasma Cortisol Levels Full Text Journal of Clinical Endocrinology and Metabolism, January 30, 2006

985 Physician reporting of medically impaired drivers The Journal of Emergency Medicine, January 30, 2006

986 Differential diagnostic value of procalcitonin in surgical and medical patients with septic shock Critical Care Medicine, January 27, 2006

987 PTU-associated Vasculitis in a Girl With Turner Syndrome and Graves' Disease Pediatric Emergency Care, January 27, 2006

988 Hyponatremia and Arginine Vasopressin Dysregulation: Mechanisms, Clinical Consequences, and Management Journal of the American Geriatrics Society, January 27, 2006

989 Risk for severe hypoglycaemia with unawareness in GH-deficient patients during the insulin tolerance test Clinical Endocrinology, January 25, 2006

990 Predisposing factors for hypoglycemia in the intensive care unit Critical Care Medicine, January 25, 2006

991 Clinical and diagnostic aspects of cystic insulinoma Scandinavian Journal of Gastroenterology, January 24, 2006

992 Hyperglycaemia after glucose loading is a major predictor of preclinical atherosclerosis in nondiabetic subjects Clinical Endocrinology, January 23, 2006

993 Hyperkalemia Full Text American Family Physician, January 23, 2006

994 Opioids and opiates: analgesia with cardiovascular, haemodynamic and immune implications in critical illness Journal of Internal Medicine, January 23, 2006

995 Intravenous glucose intake independently related to intensive care unit and hospital mortality: an argument for glucose toxicity in critically ill patients Clinical Endocrinology, January 18, 2006

996 Autologous peripheral blood stem cell transplantation for POEMS syndrome Neurology, January 17, 2006

997 Hyperglycemia After SAH Full Text Stroke, January 17, 2006

998 Hematuria as the Presenting Symptom of a Metastatic Thyroid Cancer Urologia Internationalis, January 16, 2006

999 Endocrine Alterations in Critically Ill Patients With Stroke During the Early Recovery Period Neurocritical Care , January 12, 2006

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Clinical Pearls in Emergency Medicine

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.

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Vomiting 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%).

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Association 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.

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Most Popular Emergency Medicine Articles

Last month's top read Top Articles of 2012

1 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, Injurymore

Other Topics in Emergency Medicine

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