6,151 results match your criteria Academic Emergency Medicine[Journal]


CMS is only happy when it rains.

Acad Emerg Med 2021 Jul;28(7):829-831

Department of Emergency Medicine, University of Michigan, Ann Arbor, Michigan, USA.

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A tale of two patients.

Authors:
Jason Gomez

Acad Emerg Med 2021 Aug 2. Epub 2021 Aug 2.

Stanford School of Medicine, Stanford, California, USA.

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Frequent Users of Emergency Departments in the United States by Sexual Orientation.

Acad Emerg Med 2021 Jul 31. Epub 2021 Jul 31.

Department of Medicine, Health & Society, Department of Health Policy, Vanderbilt University, Nashville, TN, USA.

Disparities in health outcomes and access to care are well documented among lesbian, gay, and bisexual (LGB) populations. An ample body of research suggests that LGB people are more likely to report worse health outcomes as a result of minority stress, which is the additional stress that they endure as a result of discrimination and stigma. LGB patients also continue to experience barriers to care, including challenges with securing LGB-affirming providers that are informed on their unique health needs. Read More

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Addressing Gender Inequities: Creation of a Multi-Institutional Consortium of Women Physicians in Academic Emergency Medicine.

Acad Emerg Med 2021 Jul 31. Epub 2021 Jul 31.

Department of Emergency Medicine, Harvard Medical School, USA.

Gender inequity is pervasive in medicine, including emergency medicine (EM), and is well documented in workforce representation, leadership, financial compensation, and resource allocation. The reasons for gender inequities in medicine, including academic EM, are multi-factorial and include disadvantageous institutional parental, family, and promotion policies, workplace environment and culture, implicit biases, and a paucity of women physician leader role models, mentors, and sponsors. To address some of the challenges of gender inequities and career advancement for women in academic EM, we established an innovative, peer-driven, multi-institutional consortium of women EM faculty employed at 4 distinct hospitals affiliated with one medical school. Read More

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The Role of Women's Consortia in the Advancement of Women in Academic Emergency Medicine.

Acad Emerg Med 2021 Jul 30. Epub 2021 Jul 30.

Professor of Emergency Medicine, Department of Emergency Medicine, Indiana University, Indianapolis, IN, USA.

Prior literature has suggested that there are major barriers to the advancement of women in academic emergency medicine (EM) and that few evidence-based solutions exist to resolve this inequity. In this issue of Academic Emergency Medicine, XX et al. (1) describe the creation of a consortium of women physicians across four departments of EM in the northeastern United States with the aim of addressing persistent gender inequities in the academic EM workforce. Read More

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Care transitions and social needs: a Geriatric Emergency care Applied Research (GEAR) Network scoping review and consensus statement.

Acad Emerg Med 2021 Jul 30. Epub 2021 Jul 30.

Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham VA Health Care System, Durham, NC, USA.

Objectives: Individual-level social needs have been shown to substantially impact emergency department (ED) care transitions of older adults. The Geriatric Emergency care Applied Research (GEAR) Network aimed to identify care transition interventions, particularly addressing social needs, and prioritize future research questions.

Methods: GEAR engaged 49 interdisciplinary stakeholders, derived clinical questions, and conducted searches of electronic databases to identify ED discharge care transition interventions in older adult populations. Read More

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Real-time interactive artificial intelligence of things-based prediction for adverse outcomes in adult patients with pneumonia in the emergency department.

Acad Emerg Med 2021 Jul 29. Epub 2021 Jul 29.

Department of Medical Research, Chi Mei Medical Center, Tainan, Taiwan.

Background: Artificial intelligence of things (AIoT) may be a solution for predicting adverse outcomes in emergency department (ED) patients with pneumonia; however, this issue remains unclear. Therefore, we conducted this study to clarify it.

Methods: We identified 52,626 adult ED patients with pneumonia from three hospitals between 2010 and 2019 for this study. Read More

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Emergency Department Guidelines for the Night Shift.

Authors:
Sophia Gorgens

Acad Emerg Med 2021 Jul 26. Epub 2021 Jul 26.

Department of Emergency Medicine, Zucker-Northwell NS/LIJ, 306 Community Drive, Apt. 1N, Manhasset, NY, 11030, USA.

We are all the same at night, inebriated on traumas and resuscitations-the good stuff- chest tubes, central lines, code blues and with a sharpie, we mark the cricothyroid membrane just in case. Read More

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Effectiveness of a Care Transitions Intervention for Older Adults Discharged Home from the Emergency Department: A Randomized Controlled Trial.

Acad Emerg Med 2021 Jul 26. Epub 2021 Jul 26.

BerbeeWalsh Department of Emergency Medicine, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin, USA.

Background: Improving care transitions following emergency department (ED) visits may reduce post-ED adverse events among older adults (e.g., ED revisits, decreased function). Read More

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Myopericarditis in young adults presenting to the emergency department after receiving a second COVID-19 mRNA vaccine.

Acad Emerg Med 2021 Jul 26;28(7):802-805. Epub 2021 Jul 26.

Department of Emergency Medicine, Yale University School of Medicine, New Haven, Connecticut, USA.

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Global Emergency Medicine: A Scoping Review of the Literature from 2020.

Acad Emerg Med 2021 Jul 26. Epub 2021 Jul 26.

Global Emergency Medicine Literature Review (GEMLR) Group members are listed in Appendix A.

Objective: To identify, screen, highlight, review, and summarize some of the most rigorously conducted and impactful original research and review articles in global emergency medicine (EM) published in 2020 in the peer-reviewed and gray literature.

Methods: A broad systematic search of peer-reviewed publications related to global EM indexed on PubMed and in the gray literature was conducted. The titles and abstracts of the articles on this list were screened by members of the Global Emergency Medicine Literature Review team to identify those that met our criteria of original research or review articles in the domains of Disaster and Humanitarian Response, Emergency Care in Resource-Limited Settings, and Emergency Medicine Development. Read More

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Cerebrovascular Disease Hospitalizations following Emergency Department Headache Visits: A Nested Case-Control Study.

Acad Emerg Med 2021 Jul 26. Epub 2021 Jul 26.

Departments of Epidemiology, The Johns Hopkins Bloomberg School of Public Health.

Background: Delayed diagnosis of cerebrovascular disease (CVD) among patients can result in substantial harm. If diagnostic process failures can be identified at Emergency Department (ED) visits that precede CVD hospitalization, interventions to improve diagnostic accuracy can be developed.

Methods: We conducted a nested case-control study using a cohort of adult ED patients discharged from a single medical center with a benign headache diagnosis from 10/1/2015-3/31/2018. Read More

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Mental health conditions in older multimorbid patients presenting to the emergency department for acute cardiac symptoms: cross-sectional findings from the EMASPOT study.

Acad Emerg Med 2021 Jul 26. Epub 2021 Jul 26.

Charité - Universitätsmedizin Berlin, Division of Emergency and Acute Medicine (Campus Virchow-Klinikum, Campus Charité Mitte), Charitéplatz 1, 10117, Berlin, Germany.

Background: This study aimed to (1) examine the proportion of patients presenting to an emergency department (ED) for acute cardiac symptoms with comorbid mental health conditions (MHCs) comprising current depression, generalized anxiety disorder, and panic disorder; (2) compare cardiac patients with and without MHCs regarding sociodemographic, medical, and psychological characteristics; and (3) examine recognition and treatment rates of MHCs.

Methods: Multimorbid patients, aged ≥50 years, presenting to an inner-city ED with acute cardiac symptoms including chest pain, dyspnoea, and palpitations, completed validated self-report instruments assessing MHCs and a questionnaire collecting psychosocial and medical information. In addition, routine medical data were extracted from the electronic health record. Read More

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Intern Orientation.

Acad Emerg Med 2021 Jul 23. Epub 2021 Jul 23.

George Washington University Hospital, Department of Emergency Medicine.

It's tradition when the new interns begin their training for the outgoing seniors to share some wisdom and survival tips. When I started my residency, I was terrified that I wouldn't read enough or know enough or be the smartest person in the room. Today, on the other side of my training, I feel compelled to share some lessons that resonated, in the hope that those in my footsteps can avoid the gaping potholes I sometimes stumbled into. Read More

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Global Limited Edition: Brand-name bags during the COVID-19 pandemic.

Acad Emerg Med 2021 Jul 23. Epub 2021 Jul 23.

Department of Radiology, The Second Affiliated to Mudanjiang Medical University, Mudanjiang City, Heilongjiang Province 157000, P.R. China.

This is a memento about the period of new coronavirus pneumonia. It's also the most precious gift I have ever received, and it's the best medicine for a doctor during that period. Read More

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Effects of Maryland's Global Budget Revenue Model on Emergency Department Utilization and Revisits.

Acad Emerg Med 2021 Jul 20. Epub 2021 Jul 20.

US Acute Care Solutions, Canton.

Background: In 2014, Maryland (MD) implemented a "global budget revenue" (GBR) program that prospectively sets hospital budgets. This program introduced incentives for hospitals to tightly control volume and meet budget targets. We examine GBR's effects on emergency department (ED) visits, admissions, and returns. Read More

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Patient patience.

Authors:
Jason S Brody

Acad Emerg Med 2021 Jul 12. Epub 2021 Jul 12.

Icahn School of Medicine at Mount Sinai, New York, NY, USA.

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Enrollment with and without Exception from Informed Consent in a Pilot Trial of Tranexamic Acid in Children with Hemorrhagic Injuries.

Acad Emerg Med 2021 Jul 12. Epub 2021 Jul 12.

The Ohio State University, Department of Pediatrics, Columbus, OH, USA.

Background: Federal exception from informed consent (EFIC) procedures allow studies to enroll patients with time-sensitive, life-threatening conditions when written consent is not feasible. Our objective was to compare enrollment rates with and without EFIC in a trial of tranexamic acid (TXA) for children with hemorrhagic injuries.

Methods: We conducted a four-center randomized controlled pilot and feasibility trial evaluating TXA in children with severe hemorrhagic brain and/or torso injuries. Read More

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Emergency medicine faculty serving on standing NIH and AHRQ study sections from 2019 to 2020.

Acad Emerg Med 2021 Jul 12. Epub 2021 Jul 12.

Section of Emergency Medicine, University of Chicago, Chicago, Illinois, USA.

Emergency medicine (EM) investigators lag in research funding from the National Institutes of Health (NIH) when compared to other specialties. NIH funding determinations are made in part by a process of NIH study section peer review. Low participation by EM investigators in NIH peer review could be one explanation for low levels of NIH funding by EM investigators. Read More

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Just a Can of Soda.

Acad Emerg Med 2021 Jul 12. Epub 2021 Jul 12.

Vanderbilt University Medical Center.

There is a peculiarity in our emergency department: the conspicuous absence of any soda. Water? Orange juice? Even prune juice for those who desire. But not even a single off-brand soda will turn up in the patient nutrition refrigerator. Read More

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Telehealth in emergency medicine: A consensus conference to map the intersection of telehealth and emergency medicine.

Acad Emerg Med 2021 Jul 10. Epub 2021 Jul 10.

Department of Emergency Medicine, Thomas Jefferson University, Philadelphia, PA, USA.

Introduction: Telehealth has the potential to significantly change the specialty of emergency medicine (EM) and has rapidly expanded in EM during the COVID pandemic; however, it is unclear how EM should intersect with telehealth. The field lacks a unified research agenda with priorities for scientific questions on telehealth in EM.

Methods: Through the 2020 Society for Academic Emergency Medicine's annual consensus conference, experts in EM and telehealth created a research agenda for the topic. Read More

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Assessment of a Third Neonatal Lumbar Puncture Position by Ultrasound Measurement.

Acad Emerg Med 2021 Jul 10. Epub 2021 Jul 10.

UCLA, Department of Emergency Medicine, Los Angeles, California, USA.

Neonatal lumbar punctures (LPs) are most often performed when a baby younger than 30 days of age presents with a fever. The procedure can be challenging, even for experienced providers. The challenge is compounded when the patient is having respiratory or other issues such that they cannot tolerate a sitting or lateral decubitus position. Read More

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Serious diagnoses at revisits in children discharged from the emergency department with back pain.

Acad Emerg Med 2021 Jul 10. Epub 2021 Jul 10.

Division of Emergency Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.

Background: Back pain is often benign but can be a harbinger for serious pathology. Little is known about the outcome in children with back pain but no serious diagnoses detected at the initial visit. We sought to estimate the rate of serious diagnoses at revisits among children initially discharged from the emergency department (ED) with back pain. Read More

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Association of an emergency department febrile neutropenia intervention protocol with time to initial antibiotic treatment.

Acad Emerg Med 2021 Jul 10. Epub 2021 Jul 10.

Department of Emergency Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.

Background: Earlier initial antibiotic treatment for febrile neutropenia is associated with improved clinical outcomes. This study was conducted to evaluate the association of an emergency department (ED) intervention protocol with time to initial antibiotic treatment for febrile neutropenia patients.

Methods: We conducted a cohort study of adult ED febrile neutropenia patients before and after implementation of an intervention protocol. Read More

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Association between one-year patient outcomes and opioid-prescribing group of emergency department clinicians: a cohort study with Army active duty soldiers.

Acad Emerg Med 2021 Jul 10. Epub 2021 Jul 10.

Uniformed Services University of the Health Sciences, Bethesda, MD, USA.

Objective: To examine the association between clinicians' opioid-prescribing group and patients' outcomes among patients treated in the emergency department (ED).

Design: Retrospective cohort study.

Setting: EDs of the US Military Health System (MHS). Read More

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Reaching the Hard to Reach: Characteristics of Patients Who Received a COVID-19 Vaccine in the Emergency Department.

Acad Emerg Med 2021 Jul 10. Epub 2021 Jul 10.

Department of Nursing, Robert Wood Johnson University Hospital, New Brunswick, New Jersey, USA.

In February 2021, the U.S. Food and Drug Administration (FDA) provided Emergency Use Authorization for the Janssen vaccine- the first one-dose COVID-19 vaccine to become available in the U. Read More

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Differentiating central from peripheral causes of acute vertigo in an emergency setting with the HINTS, STANDING, and ABCD2 tests: A diagnostic cohort study.

Acad Emerg Med 2021 Jul 10. Epub 2021 Jul 10.

Emergency Department, Groupe Hospitalier Paris Saint-Joseph, Paris, France.

Background: Diagnosing stroke in dizzy patients remains a challenge in emergency medicine. The accuracy of the neuroophthalmologic examination HINTS performed by emergency physicians (EPs) is unknown. Our objective was to determine the accuracy of the HINTS examination performed by trained EPs for diagnosing central cause of acute vertigo and unsteadiness and to compare it with another bedside clinical tool, STANDING, and with the history-based score ABCD2. Read More

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Development and External Validation of the KIIDS-TBI Tool for Managing Children with Mild Traumatic Brain Injury and Intracranial Injuries.

Acad Emerg Med 2021 Jul 10. Epub 2021 Jul 10.

Departments of Neurological Surgery, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.

Background: Clinical decision support may improve the post-neuroimaging management of children with mild traumatic brain injuries (mTBI) and intracranial injuries. While the CHIIDA score has been proposed for this purpose, a more sensitive risk model may have broader use. Consequently, this study's objectives were to: 1) develop a new risk model with improved sensitivity compared to the CHIIDA model; and 2) externally validate the new model and CHIIDA model in a multicenter dataset. Read More

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What's Notable is our Absence.

Authors:
Emily C MacNeill

Acad Emerg Med 2021 Jul 10. Epub 2021 Jul 10.

Professor Emergency Medicine and Pediatrics, Atrium Health, Charlotte North Carolina.

As emergency medicine providers, we bear witness to the incredible burden that violence, including gun violence, has on individuals, families, and communities. We see it in ways we do not often think about; increased psychiatric illness, increased ED visits for asthma, higher Adverse Childhood Events scores, cancer, cardiovascular disease and resultant lower life expectancy . All of these have been associated with exposure to violence. Read More

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PECARN algorithms for minor head trauma: Risk stratification estimates from a prospective PREDICT cohort study.

Acad Emerg Med 2021 Jul 8. Epub 2021 Jul 8.

Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.

Background: The Pediatric Emergency Care Applied Research Network (PECARN) head trauma clinical decision rules informed the development of algorithms that risk stratify the management of children based on their risk of clinically important traumatic brain injury (ciTBI). We aimed to determine the rate of ciTBI for each PECARN algorithm risk group in an external cohort of patients and that of ciTBI associated with different combinations of high- or intermediate-risk predictors.

Methods: This study was a secondary analysis of a large multicenter prospective data set, including patients with Glasgow Coma Scale scores of 14 or 15 conducted in Australia and New Zealand. Read More

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