6,359 results match your criteria Academic Emergency Medicine[Journal]


Massive Blood Transfusion Following Older Adult Trauma: The Effect of Blood Ratios on Mortality.

Acad Emerg Med 2022 Aug 9. Epub 2022 Aug 9.

Department of Surgery, University of Minnesota, Minneapolis.

Background: Massive blood transfusion (MBT) following older adult trauma poses unique challenges. Despite extensive evidence on optimal resuscitative strategies in the younger adult patients, there is limited research in the older adult population.

Methods: We used the Trauma Quality Improvement Program (TQIP) database from 2013 to 2017 to identify all patients over 65 years old who received a massive blood transfusion. Read More

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Detecting corneal injury with a selfie.

Acad Emerg Med 2022 Aug 3. Epub 2022 Aug 3.

Gavin Herbert Eye Institute at University of California, Irvine School of Medicine, Irvine, CA, USA.

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Changes in scientific characteristics of abstracts accepted to the Society for Academic Emergency Medicine Annual Meeting, 1990-2020.

Acad Emerg Med 2022 Aug 1. Epub 2022 Aug 1.

Department of Emergency Medicine, Massachusetts General Hospital, Boston, MA.

Objectives: Since its founding in 1989, the Society for Academic Emergency Medicine (SAEM) has accepted thousands of abstracts for presentation at its Annual Meeting. We reviewed abstracts to characterize temporal changes in study design, abstract topics, quality scores, and proportion of abstracts published as manuscripts.

Methods: In this serial cross-sectional study, we compiled accepted SAEM abstracts at 5-year intervals (1990, 1995, 2000, 2005, 2010, 2015, 2020), and then randomly selected 100 abstracts from each year for review by two investigators. Read More

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Global Emergency Medicine: A Scoping Review of the Literature from 2021.

Acad Emerg Med 2022 Aug 1. Epub 2022 Aug 1.

Department of Emergency Medicine, University of Florida, FL, Gainesville.

Objective: To identify the most important and impactful peer-reviewed global emergency medicine (GEM) articles published in 2021. The top articles are summarized in brief narratives and accompanied by a comprehensive list of all identified articles that address the topic during the year to serve as a reference for clinicians, researchers, and policy makers.

Methods: A systematic PubMed search was carried out to identify all GEM articles published in 2021. Read More

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Emergency Department Condition Acuity, Length of Stay, and Revisits Among Deaf and Hard-of-Hearing Patients: A Retrospective Chart Review.

Acad Emerg Med 2022 Jul 29. Epub 2022 Jul 29.

Department of Health Education and Behavior, University of Florida, Gainesville, FL, USA.

Objective: Deaf and hard-of-hearing (DHH) patients are understudied in emergency medicine health services research. Theory and limited evidence suggest that DHH patients are at higher risk of emergency department (ED) utilization and poorer quality of care. This study assessed ED condition acuity, length of stay (LOS), and acute ED revisits among DHH patients. Read More

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Can Point-of-Care Ultrasound Speed Up Time to Diagnosis for Small Bowel Obstruction?

Acad Emerg Med 2022 Jul 26. Epub 2022 Jul 26.

Department of Emergency Medicine, Renaissance School of Medicine at Stony Brook University, NY, USA.

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Hot off the Press: SGEM#370: Listen to your heart (score)…mace incidence in non-low risk patients with known coronary artery disease.

Acad Emerg Med 2022 Jul 26. Epub 2022 Jul 26.

University of Western Ontario, Ontario, Canada.

The HEART Score and Pathway risk stratify patients with chest pain into low, moderate, and high risk for major adverse cardiac events (MACE). The moderate risk group can be further divided into patients with and without known prior coronary artery disease (CAD). This article summarizes the podcast and blog post discussing the study by Henderson et al which attempts to risk stratify this group by presence of known CAD. Read More

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Evaluation of National Institutes of Health Cardiac Arrest Research Based on 'Chain of Survival' Links.

Acad Emerg Med 2022 Jul 26. Epub 2022 Jul 26.

Department of Emergency Medicine, University of Alabama at Birmingham-Heersink School of Medicine, 701 20th Street South Birmingham, AL, USA.

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Towards development of the standardised dispatcher algorithm for telephone assistance in choking.

Authors:
Alexei Birkun

Acad Emerg Med 2022 Jul 26. Epub 2022 Jul 26.

Department of General Surgery, Anaesthesiology, Resuscitation and Emergency Medicine, Medical Academy named after S.I. Georgievsky of V.I. Vernadsky Crimean Federal University; 295051, Lenin Blvd, 5/7, Simferopol, Russian Federation.

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Diagnostic accuracy of neuroimaging in emergency department patients with acute vertigo or dizziness: A systematic review and meta-analysis for the Guidelines for Reasonable and Appropriate Care in the Emergency Department.

Acad Emerg Med 2022 Jul 25. Epub 2022 Jul 25.

Evidence-Based Practice Center, Mayo Clinic, Rochester, MN, United States.

Background: Patients presenting to the emergency department (ED) with acute vertigo or dizziness represent a diagnostic challenge. Neuroimaging has variable indications and yield. We aimed to conduct a systematic review and meta-analysis of the diagnostic test accuracy of neuroimaging for patients presenting with acute vertigo or dizziness. Read More

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Comparative efficacy of sedation or analgesia methods for reduction of anterior shoulder dislocation: a systematic review and network meta-analysis.

Acad Emerg Med 2022 Jul 25. Epub 2022 Jul 25.

Scientific Research Works Peer Support Group (SRWS-PSG), Osaka, JAPAN.

Background: We performed a network meta-analysis (NMA) to compare the efficacy and safety of intravenous sedation (IVS), intra-articular anesthetic injection (IAA), and peripheral nerve blocks (PNB) as sedation or analgesia methods for the reduction of anterior shoulder dislocation.

Methods: We included randomized controlled trials (RCTs) comparing different sedation or analgesia methods for anterior shoulder dislocation reduction. The Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, ICTRP, ClinicalTrials. Read More

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Letter to the Editor, re: GRACE-2: Low-Risk, Recurrent Abdominal Pain in the Emergency Department.

Acad Emerg Med 2022 Jul 18. Epub 2022 Jul 18.

Emergency Medicine, Emory University School of Medicine, Atlanta, Georgia, United States.

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Outcomes of the National Heart Lung and Blood Institute K12 Program in Emergency Care Research: 7-year Follow-up.

Acad Emerg Med 2022 Jul 18. Epub 2022 Jul 18.

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

Background: Long-term follow-up for clinician-scientist training programs is sparse. We describe the outcomes of clinician-scientist scholars in the National Heart Lung and Blood Institute (NHLBI) K12 program in emergency care research up to 8.7 years after matriculation in the program. Read More

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Growing pains.

Authors:
Sophia Görgens

Acad Emerg Med 2022 Jul 18. Epub 2022 Jul 18.

Department of Emergency Medicine, Zucker-Northwell NS/LIJ Residency, Manhasset, NY, USA.

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Novel Quality Assessment Methodology in Focused Cardiac Ultrasound.

Acad Emerg Med 2022 Jul 17. Epub 2022 Jul 17.

Department of Emergency Medicine, Virginia Commonwealth University, Richmond, VA, United States.

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Acute dizziness: A personal journey through a paradigm shift.

Authors:
Jonathan A Edlow

Acad Emerg Med 2022 Jul 14. Epub 2022 Jul 14.

Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.

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A quantitative assessment of emergency department boarding and its association with decreases in operational efficiency: A multicenter nationwide study.

Acad Emerg Med 2022 Jul 14. Epub 2022 Jul 14.

Department of Emergency Medicine, Northeast Ohio Medical University Department of Emergency Medicine, Rootstown, Ohio, USA.

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Benign Paroxysmal Positional Vertigo: A Practical Approach for Emergency Physicians.

Acad Emerg Med 2022 Jul 14. Epub 2022 Jul 14.

Professor of Neurology, Ohio State University.

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"Why bother?": Barriers to reporting gender and sexual harassment in emergency medicine.

Acad Emerg Med 2022 Jul 5. Epub 2022 Jul 5.

Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Background: Gender and sexual harassment in emergency medicine (EM) is persistent in the workplace but remains underreported. Barriers to reporting in EM are largely unknown. This study explored barriers to reporting gender and sexual harassment among EM faculty and residents and potential improvements to reporting systems. Read More

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Physician gestalt for emergency department triage: A prospective videotaped study.

Acad Emerg Med 2022 Jul 4. Epub 2022 Jul 4.

Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan.

Objective: Appropriate triage in patients presenting to the emergency department (ED) is often challenging. Little is known about the role of physician gestalt in ED triage. We aimed to compare the accuracy of emergency physician gestalt against the currently used computerized triage process. Read More

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Periosteal block versus intravenous regional anesthesia for reduction of distal radius fractures: A randomized controlled trial.

Acad Emerg Med 2022 Jun 29. Epub 2022 Jun 29.

Dunedin Hospital, Southern District Health Board, Dunedin, New Zealand.

Objective: We compare periosteal block and intravenous regional anesthesia (IVRA) as anesthetic techniques for reduction of distal radius fractures when performed by emergency department (ED) clinicians following brief training.

Methods: This was a single-center, nonblinded randomized controlled trial of a convenience sample of patients presenting with distal radius fractures requiring closed reduction. Primary outcome measure was patient reported fracture reduction pain score, rated on a 100-mm visual analog scale. Read More

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Electrocardiographic findings associated with early clinical deterioration in acute pulmonary embolism.

Acad Emerg Med 2022 Jun 24. Epub 2022 Jun 24.

Department of Biostatistics and Data Science, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.

Objectives: We sought to determine associations of early electrocardiogram (ECG) patterns with clinical deterioration (CD) within 5 days and with RV abnormality (abnlRV) by echocardiography in pulmonary embolism (PE).

Methods: In this prospective, multicenter study of newly confirmed PE patients, early echocardiography and initial ECG were examined. Initial ECG patterns included lead-specific ST-segment elevation (STE) or depression (STD), T-wave inversion (TWI), supraventricular tachycardia (SVT), sinus tachycardia, and right bundle branch block as complete (cRBBB) or incomplete (iRBBB). Read More

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Laboratory trends in severe MIS-C.

Acad Emerg Med 2022 Jun 23. Epub 2022 Jun 23.

Wayne State University, Department of Emergency Medicine, Detroit, Michigan, USA.

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Aspiration.

Authors:
Elaine Hsiang

Acad Emerg Med 2022 Jun 22. Epub 2022 Jun 22.

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

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Listening.

Authors:
Jessica Moore

Acad Emerg Med 2022 Jun 22. Epub 2022 Jun 22.

Department of Emergency Medicine, Temple University Hospital, Philadelphia, Pennsylvania, USA.

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Disparities in the emergency department management of pediatric migraine by race, ethnicity, and language preference.

Acad Emerg Med 2022 Jun 21. Epub 2022 Jun 21.

Center for Child Health, Behavior & Development, University of Washington, Anesthesiology & Pain Medicine, & Seattle Children's Research Institute, Seattle, Washington, USA.

Background: There are disparities in pain management for children presenting to the emergency department (ED) according to their racial and ethnic backgrounds. It is not known if there are differences in the treatment of pain associated with pediatric migraines by race, ethnicity, and language for care (REaL).

Methods: We analyzed treatment patterns and outcomes in our ED for acute migraine in pediatric patients by REaL. Read More

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Out of Time.

Acad Emerg Med 2022 Jun 16. Epub 2022 Jun 16.

Emergency Medicine, San Giovanni Bosco Hospital, Torino, Italy.

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