5,594 results match your criteria Academic Emergency Medicine[Journal]


A prospective, multicenter evaluation of point-of-care ultrasound for small bowel obstruction in the emergency department.

Acad Emerg Med 2019 Feb 14. Epub 2019 Feb 14.

Wellspan York Hospital, Department of Emergency Medicine, 1001 S George Street, York, PA, 17403.

Objective: The main objective of this study was to evaluate the accuracy of emergency physician-performed point-of-care ultrasound (POCUS) for the diagnosis of small bowel obstruction (SBO) compared to computed tomography (CT).

Methods: We performed a prospective, multicenter, observational study examining a convenience sample of adult patients with potential SBO presenting to the emergency department (ED) between July 2014 and May 2017. Each emergency physician-performed POCUS was interpreted at the bedside and retrospectively by an expert reviewer. Read More

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http://doi.wiley.com/10.1111/acem.13713
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http://dx.doi.org/10.1111/acem.13713DOI Listing
February 2019
1 Read

A Commentary on Impact of Women-Focused Professional Organization and Academic Retention and Advancement: Perceptions from a Qualitative Study.

Acad Emerg Med 2019 Feb 12. Epub 2019 Feb 12.

University Central Florida, College of Medicine, Altamonte Springs, Florida.

Despite the steady increase in female medical students and female faculty in the US, there has been little change in the distribution of women across the ranks of assistant, associate, and full professor over the past 30 years. Women are substantially less likely than men to be full professors even after accounting for age, experience, specialty, and measures of research and clinical productivity. From 2009 to 2017, the percentage of female faculty in emergency medicine dropped from 3% to 1. Read More

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http://dx.doi.org/10.1111/acem.13712DOI Listing
February 2019

Re: SAEM Annual Meeting Abstracts.

Authors:

Acad Emerg Med 2019 Feb 20;26(2):273. Epub 2018 Nov 20.

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http://doi.wiley.com/10.1111/acem.13653
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http://dx.doi.org/10.1111/acem.13653DOI Listing
February 2019
1 Read

Hot Off the Press: Hospital Observation Upon Reversal (HOUR) With Naloxone: A Prospective Clinical Prediction Rule Validation Study.

Acad Emerg Med 2019 Feb 11. Epub 2019 Feb 11.

University of Western Ontario, Goderich, Ontario, Canada.

This is a prospective observational study looking to validate a previously derived decision rule designed to help safely discharge opioid overdose patients from the emergency department after 1 hour. They included a convenience sample of 538 adult patients who had received naloxone pre-hospital and compared the Hospital Observation Upon Reversal (HOUR) rule with clinical judgement. The primary outcome of interest was a broadly defined composite of adverse events. Read More

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http://dx.doi.org/10.1111/acem.13711DOI Listing
February 2019

Do High Sensitivity Troponin and Natriuretic Peptide Predict Death or Serious Cardiac Outcomes After Syncope?

Acad Emerg Med 2019 Feb 5. Epub 2019 Feb 5.

Center for Policy and Research in Emergency Medicine, Department of Emergency Medicine, Oregon Heath& Science University, Portland, OR.

Objective: An estimated 1.2 million annual emergency department (ED) visits for syncope/ near syncope occur in the United States. Cardiac biomarkers are frequently obtained during the ED evaluation, but the prognostic value of index high-sensitivity troponin (hscTnT) and Natriuretic Peptide (NT-proBNP) are unclear. Read More

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http://dx.doi.org/10.1111/acem.13709DOI Listing
February 2019
6 Reads

Bring 'Em All: Chaos. Care. Stories from Medicine's Front Line. By Eugene Richards. Dallas, TX: American College of Emergency Physicians, 2018; 208 pp; $95 (hardcover).

Authors:
Margaret Lin

Acad Emerg Med 2019 Jan 13. Epub 2019 Jan 13.

University of California, San Francisco, San Francisco, CA.

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http://dx.doi.org/10.1111/acem.13686DOI Listing
January 2019
1 Read

Positive and negative influences on female first authorship emergency medicine research.

Acad Emerg Med 2019 Jan 31. Epub 2019 Jan 31.

Department of Emergency Medicine, Indiana University School of Medicine, Indianapolis, IN.

In academic emergency medicine, female gender has been associated with fewer scholarly opportunities, fewer awards, and lower salaries.[1] First authorship of original research helps to determine rank and salary in academic medicine. Current data suggests a general under-representation of female first authors in medical literature from multiple specialties. Read More

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http://dx.doi.org/10.1111/acem.13705DOI Listing
January 2019

Drinking and Intimate Partner Violence Severity Levels Among U.S. Ethnic Groups in an Urban Emergency Department.

Acad Emerg Med 2019 Jan 31. Epub 2019 Jan 31.

Prevention Research Center, Pacific Institute for Research and Evaluation, Berkeley, California, 94704, USA.

Background: Emergency departments (EDs) provide care to ethnically diverse populations with multiple health-related risk factors, many of which are associated with intimate partner violence (IPV). This paper examines ethnic-specific12-month rates of physical IPV by severity and their association with drinking and other sociodemographic and personality correlates in an urban ED sample.

Methods: Research assistants surveyed patients at an urban ED regarding IPV exposure, as well as patterns of alcohol and drug use, psychological distress, adverse childhood experiences and other sociodemographic features. Read More

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http://dx.doi.org/10.1111/acem.13706DOI Listing
January 2019

Scholarly productivity and impact: Developing a quantifiable, norm-based benchmarking methodology for academic emergency medicine.

Acad Emerg Med 2019 Jan 31. Epub 2019 Jan 31.

University of Massachusetts Medical School, Worcester, MA.

Background: Quantifying and benchmarking scholarly productivity of emergency medicine faculty is challenging. While performance indicators including publication and citation counts are available, use of indicators to create normative references has lagged. The authors developed methodology to benchmark emergency medicine academician scholarly productivity (e. Read More

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http://dx.doi.org/10.1111/acem.13704DOI Listing
January 2019

On Lampposts, Sneetches, and Stars: A call to go beyond Bibliometrics for determining Academic Value.

Acad Emerg Med 2019 Jan 31. Epub 2019 Jan 31.

Dept of Emergency Medicine, Virginia Tech Carilion School of Medicine, VTCEM.

Academic scholarship is something that we have always sought to quantify. Journal impact factor, CiteScore, h-index, hi-10, and the alternative metrics (Altmetrics) are terms that are familiar to seasoned academics. Junior scholars are often advise to use bibliometric and publication metrics to decide where to send their work. Read More

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http://dx.doi.org/10.1111/acem.13707DOI Listing
January 2019

Benefits of rhythm control and rate control in recent-onset atrial fibrillation. the hermes-af study.

Acad Emerg Med 2019 Jan 31. Epub 2019 Jan 31.

Arrhythmia Division, Spanish Society of Emergency Medicine (SEMES).

Background: Although rhythm control has failed to demonstrate long-term benefits over rate control in long-standing episodes of atrial fibrillation (AF), there is little evidence concerning recent-onset ones. We analyzed the benefits of rhythm and rate control in terms of symptoms alleviation and need for hospital admission in patients with recent-onset AF.

Methods: This was a multicentre, observational, cross-sectional study with prospective standardized data collection carried out in 124 Emergency Departments. Read More

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http://dx.doi.org/10.1111/acem.13703DOI Listing
January 2019

Emergency department patients with a prolonged corrected QT interval do not have increased thirty-day mortality.

Acad Emerg Med 2019 Jan 29. Epub 2019 Jan 29.

Department of Emergency Medicine, Hennepin County Medical Center and the University of Minnesota, Minneapolis, MN.

Prolonged QT interval (long QTc) predisposes to torsades de pointes, which can present with seizures, syncope, and sudden death. (1) While one-third of emergency department (ED) patients may have a prolonged corrected QT (QTc) interval, (2) often discovered incidentally, clinical significance is uncertain. In hospitalized patients or long-term community studies, long QTc is associated with increased mortality. Read More

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http://dx.doi.org/10.1111/acem.13702DOI Listing
January 2019
1 Read

Prevalence of Pulmonary Embolism in Patients Presenting with Syncope.

Acad Emerg Med 2019 Jan 27. Epub 2019 Jan 27.

Department of Emergency Medicine, Rush University Medical Center.

Syncope accounts for 1-3% of emergency department (ED) visits and 1-6% of hospital admissions. There are numerous etiologies, ranging from relatively benign vasovagal syncope to dangerous dysrhythmias. The ED evaluation and management of syncope is comprised of history, examination, and typically an electrocardiogram, with further investigation dependent upon clinical decision-making and suspected conditions. Read More

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http://dx.doi.org/10.1111/acem.13700DOI Listing
January 2019
2 Reads

Impact of Women-Focused Professional Organization and Academic Retention and Advancement: Perceptions from a Qualitative Study.

Acad Emerg Med 2019 Jan 22. Epub 2019 Jan 22.

Yale School of Medicine, New Haven, CT.

Objectives: Organizations to promote career networking and mentorship among women are recommended as a best practice to support the recruitment and retention of women physicians; however, the impact of such organizations is unknown. Our primary objective is to describe the impact of a national woman-focused organization for academic emergency physicians on retention and advancement.

Methods: We conducted semi-structured interviews of past and present organization leaders, as well as members at varying stages in their careers. Read More

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http://dx.doi.org/10.1111/acem.13699DOI Listing
January 2019

The Extended Treatment Window's Impact on Emergency Systems of Care for Acute Stroke.

Acad Emerg Med 2019 Jan 21. Epub 2019 Jan 21.

Department of Emergency Medicine, MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH.

The window for acute ischemic stroke treatment was previously limited to 4.5 hours for intravenous tissue plasminogen activator and to 6 hours for thrombectomy. Recent studies using advanced imaging selection expand this window for select patients up to 24 hours from last known well. Read More

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http://dx.doi.org/10.1111/acem.13698DOI Listing
January 2019
2 Reads

Why I Wear Red Shoes.

Authors:
Sheryl L Heron

Acad Emerg Med 2019 Jan 21. Epub 2019 Jan 21.

Emory University School of Medicine, 531 Asbury Circle - Annex, Suite N340, Atlanta, Ga, 30322.

When I arrived to the Trauma Bay for my Emergency Department shift on November 21 , 2018, several emergency medicine residents and nurses asked why I was wearing my red shoes? My answer was sobering On, November 19 , 2018, Dr. Tamara O'Neal was murdered by her ex-fiancé. Dr. Read More

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http://dx.doi.org/10.1111/acem.13697DOI Listing
January 2019
2 Reads

Continuation of Gender Disparities in Pay Among Academic Emergency Medicine Physicians.

Acad Emerg Med 2019 Jan 21. Epub 2019 Jan 21.

Alpert Medical School of, Brown University, Providence, RI.

Objective: To identify the effects of gender and other predictors of change in the salary of academic emergency physicians over a four sequential time period of survey administration, across a sample of physicians within different emergency departments (EDs) and within states representing the four main geographical regions of the United States (US).

Methods: This was a successive cross-sectional observational study of EDs in the United States using an annual salary survey distributed to all Association of Academic Chairs in EM (AACEM) & Academy of Administrators in Academic EM (AAAEM) members in 2013, 2015, 2016, and 2017 with a sample size of 7,102 respondents over all time periods. The primary variable of interest was the adjusted base salary, calculated to be the full-time effort of the physician without any enhancements (e. Read More

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http://dx.doi.org/10.1111/acem.13694DOI Listing
January 2019
1 Read

Implementation Challenges of Regionalized Acute Stroke Care.

Authors:
Andrew W Asimos

Acad Emerg Med 2019 Jan 21. Epub 2019 Jan 21.

Department of Emergency Medicine, Carolinas Medical Center, Charlotte, NC.

Almost a quarter of a century has passed since the National Institute of Neurological Disorders and Stroke (NINDS) tPA trial began to transform the emergency treatment of acute ischemic stroke (AIS), based on a rigid 3 hour window from the patient's last known well (LKW) time. Twenty years later, the mechanical thrombectomy era was ushered in by compelling outcome data from trials of large vessel occlusion (LVO) AIS patients selected for mechanical thrombectomy within 4.5 hours from LKW, based on CT perfusion (CTP) and magnetic resonance imaging mismatch criteria. Read More

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http://dx.doi.org/10.1111/acem.13696DOI Listing
January 2019
2 Reads

Identifying predictors of under-triage in injured older adults after implementation of statewide geriatric trauma triage criteria.

Acad Emerg Med 2019 Jan 20. Epub 2019 Jan 20.

Department of Emergency Medicine, The Ohio State University Wexner Medical Center, Columbus, OH.

Objectives: Identify factors associated with transport of injured older adults meeting statewide geriatric trauma triage criteria to a trauma center.

Methods: An observational retrospective cohort study using the 2009-2011 Ohio Trauma Registry. Subjects were adults ≥70 years old who met Ohio's geriatric triage criteria for trauma center transport by emergency medical services. Read More

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http://doi.wiley.com/10.1111/acem.13695
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http://dx.doi.org/10.1111/acem.13695DOI Listing
January 2019
3 Reads

Are Children Allowed?: A Survey of Childcare and Family Policies at Academic Medical Conferences.

Acad Emerg Med 2019 Jan 19. Epub 2019 Jan 19.

Johns Hopkins School of Medicine and Johns Hopkins Berman Institute of Bioethics, Baltimore, MD, USA.

Conference attendance and networking have long been a staple of career advancement in medicine. Presenting one's own research or chairing a conference panel provides academic physicians with the visibility necessary for career advancement and promotion. Unfortunately, this pathway to career advancement may be obstructed for some physicians. Read More

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http://dx.doi.org/10.1111/acem.13693DOI Listing
January 2019
1 Read

Feasibility of emergency department initiated, mobile health, blood pressure intervention: an exploratory, randomized clinical trial.

Acad Emerg Med 2019 Jan 19. Epub 2019 Jan 19.

Department of Neurology, University of Michigan, Ann Arbor, MI.

Study Objective: We aimed to assess the feasibility of a text messaging intervention by determining the proportion of emergency department (ED) patients who responded to prompted home blood pressure (BP) self-monitoring and had persistent hypertension. We also explored the effect of the intervention on systolic blood pressure (SBP) over time.

Methods: We conducted a randomized, controlled trial of ED patients with expected discharge to home with elevated BP. Read More

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http://dx.doi.org/10.1111/acem.13691DOI Listing
January 2019
1 Read

The Calm After the Storm.

Acad Emerg Med 2019 Jan 19. Epub 2019 Jan 19.

University of California San Diego, Pediatrics, 3020 Children's Way- MC 5075, San Diego, California, United States.

A child gets rushed into the resuscitation room - chest compressions in progress, pale and mottled, emesis and blood streaking his matted hair and ashen face. Everyone springs into action, instinctively assuming the roles we were trained to do. The respiratory therapist seamlessly takes over ventilations, the nurses simultaneously obtain access, prime lines, and connect monitors, and I stand at the foot of the bed acting as the conductor amongst the cacophony of sound and motion. Read More

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http://doi.wiley.com/10.1111/acem.13692
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http://dx.doi.org/10.1111/acem.13692DOI Listing
January 2019
4 Reads

Access to Federally Qualified Health Centers and Emergency Department Use Among Uninsured and Medicaid-insured Adults: California, 2005 to 2013.

Acad Emerg Med 2019 Feb 16;26(2):129-139. Epub 2019 Jan 16.

Department of Emergency Medicine, University of California at San Francisco, San Francisco, CA.

Background: While improved access to safety net primary care providers, like federally qualified health centers (FQHCs), is often cited as a route to alleviate potentially preventable emergency department (ED) visits, no studies have longitudinally established the impact of improving access to FQHCs on ED use among Medicaid-insured and uninsured adults. We aimed to determine whether improved access to FQHCs was associated with lower ED use by uninsured and Medicaid-insured adults.

Methods: Using data from the Uniform Data System, U. Read More

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http://dx.doi.org/10.1111/acem.13494DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6370496PMC
February 2019
1 Read

Inclusion of Sex and Gender in Emergency Medicine Research-A 2018 Update.

Acad Emerg Med 2019 Jan 14. Epub 2019 Jan 14.

Department of Emergency Medicine, Alpert Medical School of Brown University, Providence, RI.

Objectives: The objectives were to 1) evaluate the inclusion of sex and gender in publications by emergency medicine (EM) researchers following the 2014 federal mandate and an Academic Emergency Medicine consensus conference on sex- and gender-based research and 2) assess trends compared with 2011 status report that showed 29% studies used sex and gender in the study design and 2% reported it as a primary outcome.

Methods: Using MEDLINE, the term "emergency" was used to identify all English-language studies of adult humans published between 2014 and 2017 as EM affiliated (i.e. Read More

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http://dx.doi.org/10.1111/acem.13688DOI Listing
January 2019
1 Read

Tiny Cargo, Big Deal! Pilot trial of an Emergency Department-based intervention to promote child passenger safety best practices.

Acad Emerg Med 2019 Jan 14. Epub 2019 Jan 14.

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

Background: Despite demonstrated effectiveness of child restraint systems (CRSs), use remains suboptimal. In this randomized pilot trial, we sought to determine the feasibility, acceptability, and potential efficacy of "Tiny Cargo, Big Deal" an ED-based intervention to promote guideline concordant size-appropriate CRS use.

Methods: Parents of children <11 years old were recruited in two EDs and randomized in a 2x2 factorial design to four conditions: 1) generic information sheet, 2) tailored brochure mailed after the ED visit, 3) a single motivational interviewing-based counseling session in the ED, 4) full intervention (counseling session plus tailored brochure). Read More

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http://doi.wiley.com/10.1111/acem.13687
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http://dx.doi.org/10.1111/acem.13687DOI Listing
January 2019
4 Reads

Gender Differences in Faculty Rank Among Academic Emergency Physicians in the United States.

Acad Emerg Med 2019 Jan 13. Epub 2019 Jan 13.

Department of Emergency Medicine, Columbia University, Vagelos College of Physicians and Surgeons, New York, NY.

Background: The purpose of this study was to complete a comprehensive analysis of gender differences in faculty rank among U.S. emergency physicians that reflected all academic emergency physicians. Read More

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http://doi.wiley.com/10.1111/acem.13685
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http://dx.doi.org/10.1111/acem.13685DOI Listing
January 2019
5 Reads

The Birth of a Return to work Policy for New Resident Parents in Emergency Medicine.

Acad Emerg Med 2019 Jan 13. Epub 2019 Jan 13.

Department of Emergency Medicine, Stanford University School of Medicine, Palo Alto, CA.

Objective: With the rising number of female physicians, there will be more children than ever born in residency, and the current system is inadequate to handle this increase in new resident parents. Residency is stressful and rigorous in isolation, let alone when pregnant or with a new child. Policies that ease these stressful transitions are generally either insufficient or do not exist. Read More

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http://dx.doi.org/10.1111/acem.13684DOI Listing
January 2019
2 Reads

Point-of-Care Ocular Ultrasound for the Diagnosis of Retinal Detachment: A Systematic Review and Meta-Analysis.

Acad Emerg Med 2019 Jan 13. Epub 2019 Jan 13.

Department of Emergency Medicine, Rush University Medical Center, Chicago, IL.

Background: Ocular complaints are common presentations to the emergency department (ED). Among these, retinal detachment can cause significant vision loss if not rapidly diagnosed and referred for appropriate treatment. Point-of-care ultrasound has been suggested to identify the diagnosis rapidly when the ocular examination is limited or the ophthalmology service is not readily available. Read More

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http://doi.wiley.com/10.1111/acem.13682
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http://dx.doi.org/10.1111/acem.13682DOI Listing
January 2019
9 Reads

Changes in Pain Score Associated with Clinically Meaningful Outcomes in Children with Acute Pain.

Acad Emerg Med 2019 Jan 13. Epub 2019 Jan 13.

Department of Emergency Medicine, Division of Pediatric Emergency Medicine, Columbia University College of Physicians and Surgeons, New York, NY.

Background: Identifying changes in pain score associated with clinically meaningful outcomes is necessary when using self-report measures to assess pain in children. We aimed to determine the changes in pain score associated with a minimum clinically significant difference (MCSD), ideal clinically significant difference (ICSD), and patient-perceived adequate analgesia (PPAA), and to evaluate for differences based on initial pain intensity and patient characteristics.

Methods: Cross-sectional study of children 6-17 and 4-17 years old who were assessed using the Verbal Numerical Rating Scale (VNRS) and Faces Pain Scale-Revised (FPS-R), respectively. Read More

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http://dx.doi.org/10.1111/acem.13683DOI Listing
January 2019
1 Read

High-Flow Oxygen Therapy for Treating Bronchiolitis in infants.

Acad Emerg Med 2019 Jan 11. Epub 2019 Jan 11.

Department of Emergency Medicine, State University of New York, Downstate Medical Center, Brooklyn, New York.

Bronchiolitis is the most common reason for hospitalization in infants worldwide. Current recommendations by the American Academy of Pediatrics are for supportive care including maintenance of hydration and oxygen support for hypoxemia. Other interventions such as the use of bronchodilators have failed to show any benefit when compared to supportive care alone. Read More

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http://dx.doi.org/10.1111/acem.13681DOI Listing
January 2019
2 Reads

Making Promotion Count: The Gender Perspective On Behalf of the Society for Academic Emergency Medicine Equity Research Taskforce.

Acad Emerg Med 2019 Jan 9. Epub 2019 Jan 9.

Department of Emergency Medicine, Yale University, New Haven, CT.

Women in academic emergency medicine (EM) experience disparities in both compensation and advancement. Some hypothesized causes of gender disparities include lack of mentorship and resources, unequal distribution of opportunity, sexism and implicit bias. Gender differences in academic rank in EM may also be driven by differences in scholarly productivity, slower ascent to leadership among women, attrition from academic medicine, and potentially a lack of adequate support for faculty that have family obligations competing with work, though these factors are largely speculative. Read More

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http://dx.doi.org/10.1111/acem.13680DOI Listing
January 2019
1 Read

Hot Off the Press: SGEM #237. Screening Tool for Child Sex Trafficking.

Acad Emerg Med 2019 Jan 4. Epub 2019 Jan 4.

University of Western Ontario, London, Ontario, Canada.

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http://dx.doi.org/10.1111/acem.13679DOI Listing
January 2019
4 Reads

Hospital Observation Upon Reversal (HOUR) With Naloxone: A Prospective Clinical Prediction Rule Validation Study.

Acad Emerg Med 2019 Jan 28;26(1):7-15. Epub 2018 Dec 28.

Department of Emergency Medicine, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY.

Objective: St. Paul's Early Discharge Rule was derived to determine which patients could be safely discharged from the emergency department after a 1-hour observation period following naloxone administration for opiate overdose. The rule suggested that patients could be safely discharged if they could mobilize as usual and had a normal oxygen saturation, respiratory rate, temperature, heart rate, and Glasgow Coma Scale score. Read More

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http://dx.doi.org/10.1111/acem.13567DOI Listing
January 2019
5 Reads

Corticosteroids for Treating Pneumonia.

Acad Emerg Med 2018 Dec 26. Epub 2018 Dec 26.

Department of Emergency Medicine, State University of New York, Downstate Medical Center, Brooklyn, New York.

Pneumonia remains a major cause of morbidity and mortality in the United States. There is both theoretical and laboratory evidence that corticosteroids may have beneficial effects in pneumonia through local pulmonary and systemic effects. The data for this evidence-based summary is derived from a Cochrane meta-analysis by Stern et al, which included 17 trials with 2264 adult and children admitted to the hospital with community-acquired pneumonia. Read More

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http://dx.doi.org/10.1111/acem.13678DOI Listing
December 2018
3 Reads

Our Lane Needs All of Us.

Acad Emerg Med 2019 Jan 10;26(1):115-116. Epub 2019 Jan 10.

Department of Emergency Medicine, Alpert Medical School, Brown University, Providence, RI.

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http://dx.doi.org/10.1111/acem.13675DOI Listing
January 2019
2 Reads

Changes in Sex, Race, and Ethnic Origin of Emergency Medicine Resident Physicians From 2007 to 2017.

Acad Emerg Med 2018 Dec 14. Epub 2018 Dec 14.

Rhode Island Hospital and Alpert Medical School, Brown University, Providence, RI.

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https://onlinelibrary.wiley.com/doi/abs/10.1111/acem.13674
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http://dx.doi.org/10.1111/acem.13674DOI Listing
December 2018
7 Reads

Study Enrollment When "Preconsent" Is Utilized for a Randomized Clinical Trial of Two Treatments for Acute Agitation in the Emergency Department.

Acad Emerg Med 2018 Dec 13. Epub 2018 Dec 13.

Department of Emergency Medicine, University of Arkansas for Medical Sciences, Little Rock, AR.

Background: Acute agitation in the emergency department (ED) represents a danger to both patients and their caregivers. Medication is often needed, and few high-quality randomized trials have evaluated the optimal drugs for this vulnerable population. In the United States, as of 2017, randomized trials of drugs typically cannot be conducted under Waiver of Consent (46 CFR 45. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/acem.13673
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http://dx.doi.org/10.1111/acem.13673DOI Listing
December 2018
4 Reads
2.006 Impact Factor

Prehospital Double Sequential Defibrillation: A Matched Case-Control Study.

Acad Emerg Med 2018 Dec 10. Epub 2018 Dec 10.

Department of Emergency Health Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX.

Objectives: The goal of our study was to determine whether prehospital double sequential defibrillation (DSD) is associated with improved survival to hospital admission in the setting of refractory ventricular fibrillation/pulseless ventricular tachycardia (VF/pVT).

Methods: This project is a matched case-control study derived from prospectively collected quality assurance/quality improvement data obtained from the San Antonio Fire Department out-of-hospital cardiac arrest (OHCA) database between January 2013 and December 2015. The cases were defined as OHCA patients with refractory VF/pVT who survived to hospital admission. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/acem.13672
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http://dx.doi.org/10.1111/acem.13672DOI Listing
December 2018
13 Reads

Early Endovascular Thrombectomy for Large-vessel Ischemic Stroke Reduces Disability at 90 Days.

Acad Emerg Med 2018 Dec 8. Epub 2018 Dec 8.

Department of Neurology, University of Minnesota, Minneapolis, MN.

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https://onlinelibrary.wiley.com/doi/abs/10.1111/acem.13671
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http://dx.doi.org/10.1111/acem.13671DOI Listing
December 2018
11 Reads

Hot Off the Press: A Systematic Review And Meta-analysis of Ketamine as an Alternative to Opioids for Acute Pain in the Emergency Department.

Acad Emerg Med 2018 Nov 27. Epub 2018 Nov 27.

University of Western Ontario, Goderich, Ontario, Canada.

Ketamine has been studied as an alternative to opioids for acute pain in the emergency department setting. This review compares the effectives of intravenous ketamine at a dose of <0.5mg/kg to opioids for acute pain in adult patients. Read More

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http://dx.doi.org/10.1111/acem.13658DOI Listing
November 2018
7 Reads

Executive Summary: The 2018 Academic Emergency Medicine Consensus Conference: Aligning the Pediatric Emergency Medicine Research Agenda to Reduce Health Outcome Gaps.

Acad Emerg Med 2018 Dec 6;25(12):1317-1326. Epub 2018 Dec 6.

Department of Emergency Medicine, University of Arizona College of Medicine, Tucson, AZ.

Emergency care providers share a compelling interest in developing an effective patient-centered, outcomes-based research agenda that can decrease variability in pediatric outcomes. The 2018 Academic Emergency Medicine Consensus Conference "Aligning the Pediatric Emergency Medicine Research Agenda to Reduce Health Outcome Gaps (AEMCC)" aimed to fulfill this role. This conference convened major thought leaders and stakeholders to introduce a research, scholarship, and innovation agenda for pediatric emergency care specifically to reduce health outcome gaps. Read More

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http://dx.doi.org/10.1111/acem.13667DOI Listing
December 2018
7 Reads

Vaccines for Preventing Influenza in Healthy Individuals.

Authors:
Sally Liang

Acad Emerg Med 2019 Jan 18;26(1):113-114. Epub 2018 Dec 18.

Department of Emergency Medicine, SUNY Downstate Medical Center/Kings County Hospital Center (SL), Brooklyn, NY.

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http://dx.doi.org/10.1111/acem.13668DOI Listing
January 2019
7 Reads

Reduction of Computed Tomography Use for Pediatric Closed Head Injury Evaluation at a Nonpediatric Community Emergency Department.

Acad Emerg Med 2018 Nov 14. Epub 2018 Nov 14.

Department of Pediatric Surgery, St. Louis, MO.

Objective: The purpose of this study was to determine if implementation of a Pediatric Emergency Care Applied Research Network (PECARN)-based Closed Head Injury Assessment Tool could safely decrease computed tomography (CT) use for pediatric head injury evaluation at a nonpediatric community emergency department (ED).

Methods: A quality improvement project was initiated at a nonpediatric community ED to implement an institution-specific, PECARN-based Pediatric Closed Head Injury Assessment Tool. Baseline head CT use at the participating ED was determined for children with closed head injury through retrospective chart review from March 2014 through November 2015. Read More

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http://doi.wiley.com/10.1111/acem.13666
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http://dx.doi.org/10.1111/acem.13666DOI Listing
November 2018
13 Reads

Inter-rater Reliability of the HEART Score.

Acad Emerg Med 2018 Nov 14. Epub 2018 Nov 14.

Center for Policy Research-Emergency Medicine, Department of Emergency Medicine, Oregon Health and Sciences University, Portland, OR.

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http://dx.doi.org/10.1111/acem.13665DOI Listing
November 2018
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Prospective Validation of a Checklist to Predict Short-term Death in Older Patients After Emergency Department Admission in Australia and Ireland.

Acad Emerg Med 2018 Nov 14. Epub 2018 Nov 14.

Intensive Care Unit, Cork University Hospital, Cork, Ireland.

Background: Emergency departments (EDs) are pressured environment where patients with supportive and palliative care needs may not be identified. We aimed to test the predictive ability of the CriSTAL (Criteria for Screening and Triaging to Appropriate aLternative care) checklist to flag patients at risk of death within 3 months who may benefit from timely end-of-life discussions.

Methods: Prospective cohorts of >65-year-old patients admitted for at least one night via EDs in five Australian hospitals and one Irish hospital. Read More

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http://doi.wiley.com/10.1111/acem.13664
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http://dx.doi.org/10.1111/acem.13664DOI Listing
November 2018
16 Reads
2.010 Impact Factor

Antiviral Medications for the Prevention of Postherpetic Neuralgia After Herpes Zoster Infection.

Acad Emerg Med 2018 Nov 12. Epub 2018 Nov 12.

Department of Emergency Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA.

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http://dx.doi.org/10.1111/acem.13662DOI Listing
November 2018
7 Reads

Topical Antibiotics for Clinical and Microbiologic Cure of Bacterial Conjunctivitis.

Acad Emerg Med 2018 Nov 12. Epub 2018 Nov 12.

Department of Emergency Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA.

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http://doi.wiley.com/10.1111/acem.13663
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http://dx.doi.org/10.1111/acem.13663DOI Listing
November 2018
8 Reads

Corticosteroids for Preventing Postherpetic Neuralgia After Herpes Zoster Infection.

Acad Emerg Med 2018 Nov 12. Epub 2018 Nov 12.

Department of Emergency Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA.

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http://doi.wiley.com/10.1111/acem.13661
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http://dx.doi.org/10.1111/acem.13661DOI Listing
November 2018
13 Reads

Single Maintenance and Reliever Therapy (SMART) Regimen for Management of Persistent Asthma.

Acad Emerg Med 2018 Nov 8. Epub 2018 Nov 8.

Department of Emergency Medicine, Vidant Medical Center, East Carolina University Brody School of Medicine, Greenville, NC.

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http://dx.doi.org/10.1111/acem.13659DOI Listing
November 2018
2 Reads