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Emergency Medicine - EM Radiology/Diagnostics 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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Articles
Latest (3) Full Text Articles (28)901 Multidetector CT findings of skeletal chest injuries secondary to cardiopulmonary resuscitation Resuscitation, June 28, 2011
902 Percutaneous Vertebroplasty in Very Severe Osteoporotic Vertebral Compression Fractures: Feasible and Beneficial Journal of Vascular and Interventional Radiology, June 28, 2011
903 Therapeutic and interventional endoscopy for gastrointestinal bleeding European Journal of Trauma and Emergency Surgery, June 27, 2011
904 Monitoring cerebral autoregulation after head injury. Which component of transcranial Doppler flow velocity is optimal Neurocritical Care , June 27, 2011
905 Strategic Placement of Bedside Ventriculostomies Using Ultrasound Image Guidance: Report of three Cases Neurocritical Care , June 27, 2011
906 Diagnostic Performance of Multidetector Computed Tomography for Suspected Acute Appendicitis Full Text Annals of Internal Medicine, June 23, 2011 Clinical Article
907 Advanced Hemodynamic Monitoring: Principles and Practice in Neurocritical Care Neurocritical Care , June 22, 2011
908 Comparison of ondansetron and combination of ondansetron and dexamethasone as a prophylaxis for postoperative nausea and vomiting in adults undergoing elective laparoscopic surgery Journal of Emergencies, Trauma and Shock, June 22, 2011 Clinical Article
909 Small bowel wall thickening: MDCT evaluation in the emergency room Emergency Radiology, June 22, 2011
910 Tracheal rapid ultrasound exam (T.R.U.E.) for confirming endotracheal tube placement during emergency intubation Resuscitation, June 21, 2011 Clinical Article
911 Tracheal Intubation in the Emergency Department: A Comparison of GlideScope Video Laryngoscopy to Direct Laryngoscopy in 822 Intubations The Journal of Emergency Medicine, June 21, 2011
912 The Occurrence of Pneumonia Diagnosis Among Neurosurgical Patients: The Definition Matters Neurocritical Care , June 21, 2011
913 Is ischaemia-modified albumin a test for venous thromboembolism Emergency Medicine Journal, June 21, 2011
914 How useful are laboratory investigations in the Emergency Department evaluation of possible osteomyelitis Emergency Medicine Australasia, June 21, 2011
915 The diagnostic efficiency of ultrasound guided imaging algorithm in evaluation of patients with hematuria European Journal of Radiology, June 21, 2011
916 Yield of head CT in the alcohol-intoxicated patient in the emergency department Emergency Radiology, June 21, 2011
917 Optimizing multidetector CT for visualization of splenic vascular injury. Validation by splenic arteriography in blunt abdominal trauma patients Emergency Radiology, June 21, 2011
918 Aortic dissection with concomitant acute myocardial infarction: From diagnosis to management Journal of Emergencies, Trauma and Shock, June 20, 2011
919 Multimodal imaging tools for diagnosis of fat embolism Journal of Emergencies, Trauma and Shock, June 20, 2011
920 Do Children With Blunt Head Trauma and Normal Cranial Computed Tomography Scan Results Require Hospitalization for Neurologic Observation Annals of Emergency Medicine, June 20, 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 Med Articles
Last month's top read Top Articles of 2012Indexed Journals in Emergency Medicine: Journal of Emergency Medicine, Annals of Emergency Medicine, Injury more
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