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Emergency Medicine 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
See All >> Messages include industry-sponsored communications and special communications from MDLinx-
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Mortality rate less in obese patients with sepsis
Articles
Latest (28) Full Text Articles (650)1 Effect on Behavior Problems of Teen Online Problem-Solving for Adolescent Traumatic Brain Injury Full Text Pediatrics, October 8, 2012 Original Publication Date: October 7, 2011
2 Randomized Clinical Trial of Rapid Versus 24-Hour Rehydration for Children With Acute Gastroenteritis Full Text Pediatrics, October 6, 2012 Original Publication Date: October 5, 2011
3 Abusive Head Trauma During a Time of Increased Unemployment: A Multicenter Analysis Full Text Pediatrics, October 6, 2012 Original Publication Date: October 5, 2011
4 Intraoperative Factors and the Risk of Respiratory Complications After Pneumonectomy Full Text Annals of Thoracic Surgery, October 6, 2012 Original Publication Date: October 21, 2011
5 Headache Characteristics in Addicts During Substance Abuse, Withdrawal and Rehabilitation Full Text Journal of Neurological Sciences (Turkish), October 4, 2012 Clinical Article
6 The knowledge, attitude and behavior about public health emergencies and the response capacity of primary care medical staffs of Guangdong Province, China Full Text BMC Health Services Research, October 4, 2012
7 Clinical value of total white blood cells and neutrophil counts in patients with suspected appendicitis: retrospective study Full Text World Journal of Emergency Surgery, October 3, 2012
8 Fluoroquinolone therapy and idiosyncratic acute liver injury: a population-based study Full Text Canadian Medical Association Journal, October 3, 2012
9
Training family physicians in shared decision-making to reduce the overuse of antibiotics in acute respiratory infections: a cluster randomized trial Full Text
Canadian Medical Association Journal, October 3, 2012
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10 The Efficacy of Patient Education in Whiplash Associated Disorders: A Systematic Review Full Text Pain Physician, October 3, 2012 Evidence Based Medicine
11 Nighttime assaults: using a national emergency department monitoring system to predict occurrence, target prevention and plan services Full Text BMC Public Health, October 2, 2012
12 EAU Guidelines on Iatrogenic Trauma Full Text European Urology, October 2, 2012
13 Postdischarge Complications After Penetrating Cardiac Injury: A Survivable Injury With a High Postdischarge Complication Rate Full Text Archives of Surgery, October 1, 2012 Original Publication Date: September 30, 2011
14 The CT-STAT (Coronary Computed Tomographic Angiography for Systematic Triage of Acute Chest Pain Patients to Treatment) Trial Full Text JACC - Journal of the American College of Cardiology, October 1, 2012 Original Publication Date: September 30, 2011
15 Decreasing adrenergic or sympathetic hyperactivity after severe traumatic brain injury using propranolol and clonidine (DASH After TBI Study): study protocol for a randomized controlled trial Full Text Trials, October 1, 2012
16 Intrathoracic displacement of the humeral head in a trauma patient Full Text Indian Journal of Orthopaedics, October 1, 2012
17 Insulin Resistance Is Associated With a Poor Response to Intravenous Thrombolysis in Acute Ischemic Stroke Full Text Diabetes Care, September 30, 2012 Original Publication Date: September 29, 2011
18 Rapid Exclusion of Acute Myocardial Infarction in Patients With Undetectable Troponin Using a High-Sensitivity Assay Full Text JACC - Journal of the American College of Cardiology, September 29, 2012 Original Publication Date: September 28, 2011
19 CT Angiography for Safe Discharge of Patients with Possible Acute Coronary Syndromes Full Text New England Journal of Medicine, September 29, 2012 Original Publication Date: March 28, 2012 Clinical Article
20 Continuous video-EEG monitoring in pediatric intensive care units Full Text Epilepsia, September 28, 2012 Original Publication Date: April 27, 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 Medicine 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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