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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.
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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Mortality rate less in obese patients with sepsis
Articles
Latest (2) Full Text Articles (10)141 Diabetes Screening Among Immigrants: A Population-Based Urban Cohort Study Full Text Diabetes Care, March 2, 2012
142 The Vulnerable Atherosclerotic Plaque: Evaluation of the Lipid Core in Human Coronary Arteries Using Morphometry American Journal of Forensic Medicine and Pathology, February 24, 2012
143 Hypotension after Medical Termination of Pregnancy The Journal of Emergency Medicine, February 17, 2012
144 Hypertension and cognitive impairment: Kahrizak Elderly Study Full Text International Journal of Gerontology, February 13, 2012 Clinical Article
145 Ketamine-like Effects After Recreational Use of Methoxetamine Annals of Emergency Medicine, February 6, 2012 Clinical Article
146 High Prevalence of Prehypertension and Hypertension in a Working Population in Hungary American Journal of Hypertension, January 30, 2012
147 Postpartum amaurosis in a woman with severe preeclampsia Full Text Indian Journal of Critical Care Medicine, January 23, 2012
148 Reversible Obstructive Hydrocephalus from Hypertensive Encephalopathy Neurocritical Care , January 16, 2012
149 Current state of glycemic control in critically ill subjects in a general intensive care unit Full Text International Journal of General Medicine, January 10, 2012
150 Mineralocorticoid Receptor Blocker Eplerenone Improves Endothelial Function and Inhibits Rho-Associated Kinase Activity in Patients With Hypertension Clinical Pharmacology & Therapeutics, January 4, 2012
151 Respiratory Failure and Spontaneous Hypoglycemia During Noninvasive Rewarming From 24.7°C (76.5°F) Core Body Temperature After Prolonged Avalanche Burial Annals of Emergency Medicine, December 23, 2011
152 Evidence-based management of hyperglycemic emergencies in diabetes mellitus Diabetes Research and Clinical Practice, December 20, 2011 Evidence Based Medicine Clinical Article
153 Orthostatic Hypotension Following Resection of a Dorsal Medullary Hemangioblastoma Neurocritical Care , December 19, 2011
154 Severe hypothermia in myxoedema coma: A rewarming by extracorporeal circulation Emergency Medicine Australasia, December 15, 2011
155 Gluconeogenesis Defect Presenting With Resistant Hyperglycemia and Acidosis Mimicking Diabetic Ketoacidosis Pediatric Emergency Care, December 14, 2011
156 Hypovolemia-induced Cardiac Tamponade in a Patient with Hypothyroidism The Journal of Emergency Medicine, December 7, 2011
157 Characterizing Glucose Changes Antecedent to Hypoglycemic Events in the Intensive Care Unit Full Text Endocrine Practice, November 30, 2011
158 Thrombolysis outcomes in acute ischemic stroke patients with prior stroke and diabetes mellitus Neurology, November 29, 2011
159 Association of the SHBG gene promoter polymorphism with early markers of atherosclerosis in apparently healthy women Atherosclerosis, November 29, 2011
160 Aspirin may do wonders by the induction of immunological self-tolerance against autoimmune atherosclerosis Medical Hypotheses, November 28, 2011 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 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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