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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.
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Articles
Latest (6) Full Text Articles (28)1 N-acetylcysteine plus intravenous fluids versus intravenous fluids alone to prevent contrast-induced nephropathy in emergency computed tomography Annals of Emergency Medicine, June 18, 2013 Clinical Article
2 Cervical spine clearance in the elderly: do elderly patients get a bad deal? Emergency Medicine Journal, June 18, 2013
3 Dental orthopantomogram biometrics system for human identification Journal of Forensic and Legal Medicine, June 18, 2013 Review Article
4 Estimation of stature using lower limb measurements in Sudanese Arabs Journal of Forensic and Legal Medicine, June 18, 2013 Review Article
5 Estimating ages by third molars: Stages of development in Brazilian young adults Journal of Forensic and Legal Medicine, June 18, 2013 Review Article
6 Point-of-care ultrasound in a resource-limited setting: diagnosing intussusception The Journal of Emergency Medicine, June 18, 2013
Prior Articles
7 Diagnosing heart failure among acutely dyspneic patients with cardiac, inferior vena cava, and lung ultrasonography The American Journal of Emergency Medicine, June 17, 2013 Clinical Article
8 Capnography as a diagnostic tool for pulmonary embolism: a meta-analysis Annals of Emergency Medicine, June 17, 2013 Evidence Based Medicine
9 Diagnosis of near-fatal pulmonary embolus-in-transit with focused echocardiography The Journal of Emergency Medicine, June 17, 2013
10 ECG changes in a case of attempted partial hanging Journal of Forensic and Legal Medicine, June 14, 2013
11 A comparison of ultrasound-guided three-in-one femoral nerve block versus parenteral opioids alone for analgesia in emergency department patients with hip fractures: a randomized controlled trial Academic Emergency Medicine, June 13, 2013 Clinical Article
12 Emergency ultrasound-assisted examination of skin and soft tissue infections in the pediatric emergency department Academic Emergency Medicine, June 13, 2013 Clinical Article
13 Role of noncontrast head CT in the assessment of vascular abnormalities in the emergency room Emergency Radiology, June 13, 2013 Review Article
14 Ultrasound diagnosis of supracondylar fractures in children European Journal of Trauma and Emergency Surgery, June 13, 2013 Review Article
15 Evaluating blunt pancreatic trauma at whole body CT: current practices and future directions Emergency Radiology, June 12, 2013 Review Article
16 Evolution of pattern of injury and quantitative MRI on days 1 and 3 in term newborns with hypoxic–ischemic encephalopathy Pediatric Research, June 11, 2013 Review Article
17 Left ventricular adaptation to acute hypoxia: a speckle-tracking echocardiography study Journal of the American Society of Echocardiography, June 11, 2013 Clinical Article
18 Age estimation by pulp/tooth ratio in lateral and central incisors by peri-apical X-ray Journal of Forensic and Legal Medicine, June 11, 2013 Review Article
19 Age estimation by measuring open apices of lower erupted teeth in 12–16 years olds by radiographic evaluation Journal of Forensic and Legal Medicine, June 11, 2013 Review Article
20 Characteristics of central lesions in patients with dizziness determined by diffusion MRI in the emergency department Emergency Medicine Journal, June 10, 2013 Review 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 Magnitude of d-dimer matters for diagnosing pulmonary embolus The American Journal of Emergency Medicine, May 21, 2013 Review Article
2 Appendix Not Seen: The Predictive Value of Secondary Inflammatory Sonographic Signs Pediatric Emergency Care, April 5, 2013 Review Article
3 Clinical Practice Guidelines for Pediatric Appendicitis Evaluation Can Decrease Computed Tomography Utilization While Maintaining Diagnostic Accuracy Pediatric Emergency Care, May 6, 2013 Review Article
4 An algorithm for identification of ST-elevation myocardial infarction patients by emergency medicine services The American Journal of Emergency Medicine, May 28, 2013 Review Article
5 A decision analysis to determine a testing threshold for computed tomographic angiography and d-dimer in the evaluation of aortic dissection The American Journal of Emergency Medicine, May 24, 2013 Review Article
6 The role of myeloperoxidase (MPO) for prognostic evaluation in sensitive cardiac troponin I negative chest pain patients in the emergency department European Heart Journal: Acute Cardiovascular Care, April 19, 2013 Review Article
7 Treatment and outcomes of non-ST elevation acute coronary syndromes in relation to burden of pre-existing vascular disease International Journal of Cardiology, April 22, 2013
8 Tracheal Foreign Bodies: Are Radiographs Misleading? Pediatric Emergency Care, April 10, 2013 Review Article
9 Effect of a preauthorization policy on the utilization rate of after-hours emergency department neuroradiology computed tomography Canadian Journal of Emergency Medicine, May 3, 2013 Review Article
10 Blood pH is a Useful Indicator for Initiation of Therapeutic Hypothermia in the Early Phase of Resuscitation after Comatose Cardiac Arrest: A Retrospective Study The Journal of Emergency Medicine, April 26, 2013
11 Repeat head computed tomography after minimal brain injury identifies the need for craniotomy in the absence of neurologic change The Journal of Trauma and Acute Care Surgery, April 3, 2013 Review Article
12 Revised protocol for whole-body CT for multi-trauma patients applying triphasic injection followed by a single-pass scan on a 64-MDCT Clinical Radiology, May 30, 2013 Review Article
13 Electrocardiographic implications of the prolonged QT interval The American Journal of Emergency Medicine, April 23, 2013 Review Article
14 Ultrasound guided lumbar puncture in emergency department: Time saving and less complications Journal of Research in Medical Sciences, May 10, 2013 Evidence Based Medicine
15 Sudden death and physical exercise: timely diagnosis of congenital anomalies of the coronary arteries with the new 320-slide multi-detector computed tomography Internal and Emergency Medicine, April 15, 2013
16 Accuracy of emergency physician-performed ultrasound in detecting traumatic pneumothorax after a 2-h training course European Journal of Emergency Medicine, April 29, 2013
17 Utility of head CT in the evaluation of vertigo/dizziness in the emergency department Emergency Radiology, January 10, 2013
18 Comparison of Clinicians to Radiologists in Assessment of Abdominal Radiographs for Suspected Intussusception Pediatric Emergency Care, May 6, 2013
19 Atrial fibrillation-induced cardiac troponin I release International Journal of Cardiology, April 29, 2013
20 Diagnostic Performance of Resting CT Myocardial Perfusion in Patients With Possible Acute Coronary Syndrome American Journal of Roentgenology, April 30, 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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