5,896 results match your criteria Academic Emergency Medicine[Journal]


The Impact of Advanced Practice Provider Staffing on Emergency Department Care: Productivity, Flow, Safety, and Experience.

Acad Emerg Med 2020 Jul 7. Epub 2020 Jul 7.

US Acute Care Solutions, Canton, OH, USA.

Objective: We examined emergency department (ED) advanced practice provider (APP) productivity and how APP staffing impacted ED productivity, safety, flow, and experience.

Methods: We used 2014-18 data from a national emergency medicine group. The exposure was APP coverage: APP hours as a percentage of total clinician hours at the ED-day level. Read More

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http://dx.doi.org/10.1111/acem.14077DOI Listing

Bringing Back the Human Connection with a Tablet.

Acad Emerg Med 2020 Jul 6. Epub 2020 Jul 6.

Department of Emergency Medicine, Albert Einstein College of Medicine, Jacobi Medical Center, 1400 Pelham Parkway South, Bronx, NY, 10461, USA.

"Don't leave me alone," she said. "I'm scared," he said. "Please help me," they said. Read More

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http://dx.doi.org/10.1111/acem.14076DOI Listing

Impact of point of care testing on length of stay of patients in the emergency department: a cluster randomized controlled study.

Acad Emerg Med 2020 Jul 3. Epub 2020 Jul 3.

Biochemisty and Emergency Biology Department, Hôpital Pitié-Salpêtrière, APHP, Paris, France.

Background And Objectives: Crowding is a frequent concern in the emergency department (ED). Laboratory point of care testing (POCT) has been proposed to decrease patients' length of stay (LOS). Our objective was to determine whether an extended panel of POCT solutions could reduce LOS. Read More

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http://dx.doi.org/10.1111/acem.14072DOI Listing

The Son Also Rises.

Authors:
Jameson Mannix

Acad Emerg Med 2020 Jul 4. Epub 2020 Jul 4.

The Rivers School, 333 Winter St, Weston, MA, 02493, United States.

Being the child of an emergency medicine (EM) doctor means a lot of unappetizing dinner conversations. The nauseating remarks are usually casually weaved into common discourse, with a disturbing disregard for the family's digestion. Perhaps a family member mentions an upcoming dental appointment - an innocent remark - which somehow elicits from my mother the gruesome suctioning noise that occurred when she replaced her patient's displaced tooth in its socket. Read More

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http://dx.doi.org/10.1111/acem.14074DOI Listing

My Family Didn't Sign Up for This.

Authors:
Liza Hartofilis

Acad Emerg Med 2020 Jul 3. Epub 2020 Jul 3.

Department of Emergency Medicine, NewYork-Presbyterian Hospital, 525 East 68th Street, New York, NY, 10065, USA.

"Will buddies." That was an unfortunate phrase a friend of mine and I coined together during a shift early in the pandemic. He was a resident in our program just a couple of years ago and is now one of my attendings. Read More

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http://dx.doi.org/10.1111/acem.14073DOI Listing

Association of Emergency Department Opioid Administration with Ongoing Opioid Use: A Retrospective Cohort Study of Patients with Back Pain.

Acad Emerg Med 2020 Jul 1. Epub 2020 Jul 1.

Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO, United States.

Opioids are commonly administered in the emergency department (ED) and prescribed for the treatment of back pain. It is important to understand the unintended consequences of this approach to inform treatment decisions and the consideration of alternative treatments. Recent evidence has shown that ED opioid prescriptions are associated with future opioid use. Read More

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http://dx.doi.org/10.1111/acem.14071DOI Listing

Etomidate Use is Associated with Less Hypotension Than Ketamine for Emergency Department Sepsis Intubations: A NEAR Cohort Study.

Acad Emerg Med 2020 Jun 30. Epub 2020 Jun 30.

Department of Emergency Medicine, Brigham and Women's Hospital, Boston, MA, USA.

Objective: The objectives of this study were (1) to describe the current use of etomidate and other induction agents in patients with sepsis and (2) to compare adverse events between etomidate and ketamine in sepsis.

Methods: Observational cohort study of the prospective National Emergency Airway Registry (NEAR) data set. Descriptive statistics were used to report the distribution of induction agents used in patients with sepsis. Read More

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http://dx.doi.org/10.1111/acem.14070DOI Listing

Antacid monotherapy is more effective in relieving epigastric pain than in combination with lidocaine. A randomized double-blind clinical trial.

Acad Emerg Med 2020 Jun 29. Epub 2020 Jun 29.

Emergency Department, Royal Melbourne Hospital, Melbourne, Australia.

This was a double-blind, randomized clinical trial comparing three different solutions for the treatment of adults with epigastric pain or dyspepsia presenting to the emergency department (ED). It was conducted in the Royal Melbourne Hospital, a tertiary, adult-only, inner-city center in Melbourne with 75,000 annual ED visits. Data were collected over three months, from June to August 2019, between 0800 and 2300, seven days a week. Read More

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http://dx.doi.org/10.1111/acem.14069DOI Listing

Guidance and Patient Instructions for Proning and Repositioning of Awake, Non-Intubated COVID-19 Patients.

Acad Emerg Med 2020 Jun 29. Epub 2020 Jun 29.

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

Prior studies on proning awake, non-intubated patients with hypoxemic acute respiratory failure, as well as evolving study of similar COVID-19 patients, coupled with experience and dramatic anecdotal evidence from the COVID-19 pandemic, suggest the importance of proning all such patients with COVID-19 to improve oxygenation and reduce respiratory effort. Literature and experience from healthcare teams in the midst of the pandemic suggest that any COVID-19 patients with respiratory compromise severe enough to warrant admission should be considered for proning. We additionally suggest these patients should be considered for proning as well as ongoing patient re-positioning (e. Read More

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http://dx.doi.org/10.1111/acem.14067DOI Listing

Automated retrospective calculation of the EDACS and HEART scores in a multicenter prospective cohort of emergency department chest pain patients.

Acad Emerg Med 2020 Jun 28. Epub 2020 Jun 28.

Division of Research, Kaiser Permanente Northern California, Oakland, California, USA.

Background: Coronary risk scores are commonly applied to emergency department (ED) patients with undifferentiated chest pain. Two prominent risk score-based protocols are the Emergency Department Assessment of Chest pain Score Accelerated Diagnostic Protocol (EDACS-ADP) and the History, ECG, Age, Risk factors and Troponin (HEART) pathway. Since prospective documentation of these risk determinations can be challenging to obtain, quality improvement projects could benefit from automated retrospective risk score classification methodologies. Read More

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http://dx.doi.org/10.1111/acem.14068DOI Listing

Ketamine versus Etomidate and Peri-Intubation Hypotension: A National Emergency Airway Registry Study.

Acad Emerg Med 2020 Jun 26. Epub 2020 Jun 26.

Brigham and Women's Hospital and Harvard Medical School Departments of Emergency Medicine, USA.

Background: The hemodynamic impact of induction agents is a critically important consideration in emergency intubations. We assessed the relationship between peri-intubation hypotension and the use of ketamine versus etomidate as an induction agent for emergency department (ED) intubation.

Methods: We analyzed ED intubation data for patients aged >14 years from the National Emergency Airway Registry performed in 25 EDs during 2016-2018. Read More

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http://dx.doi.org/10.1111/acem.14063DOI Listing

Emergency Department Overcrowding Lowers Patient Satisfaction Scores.

Acad Emerg Med 2020 Jun 24. Epub 2020 Jun 24.

Department of Emergency Medicine, University of Iowa College of Medicine, Iowa City, Iowa, USA.

Crowding in emergency departments (EDs) is a concern for hospital administrators, emergency providers, and patients. Many factors contribute to crowding, including variable patient volume and acuity along with contributing hospital factors such as inadequate nursing support and insufficient inpatient beds resulting in prolonged ED boarding times. In order to better study and define characteristics indicative of crowding, the National Emergency Department Overcrowding Study (NEDOCS) established a standardized and validated scoring system to quantify crowding in an academic setting. Read More

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http://dx.doi.org/10.1111/acem.14046DOI Listing

Intravenous Magnesium Sulfate for Acute Asthma Exacerbation in Adults.

Acad Emerg Med 2020 Jun 23. Epub 2020 Jun 23.

Albert Einstein College of Medicine Department of Emergency Medicine, Bronx, New York, USA.

Asthma is a common chronic respiratory disease with acute exacerbations recognized clinically by the signs and symptoms of dyspnea, cough, chest tightness, and wheezing. In the United States approximately 25 million individuals currently have asthma and in 2017, asthma exacerbations accounted for approximately 1.8 million emergency department (ED) visits and 3,500 deaths. Read More

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http://dx.doi.org/10.1111/acem.14066DOI Listing

Association between emergency physician length of stay rankings and patient characteristics.

Acad Emerg Med 2020 Jun 22. Epub 2020 Jun 22.

Department of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.

Objective: Emergency physicians are commonly compared by their patients' length of stay (LOS). We test the hypothesis that LOS is associated with patient characteristics, and that accounting for these features impacts physician LOS rankings.

Methods: Retrospective observational study of all encounters at an emergency department in 2010-2015. Read More

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http://dx.doi.org/10.1111/acem.14064DOI Listing

A Pilot Trial of Topical Capsaicin Cream for Treatment of Cannabinoid Hyperemesis Syndrome.

Acad Emerg Med 2020 Jun 22. Epub 2020 Jun 22.

Department of Emergency Medicine, Henry Ford Hospital, Detroit, MI, USA.

Background: Patients with cannabinoid hyperemesis syndrome (CHS) present frequently to the emergency department. Previous case studies suggest dramatic symptomatic improvement with topical capsaicin treatment. This exploratory study examined the potential effectiveness of topical capsaicin in patients with nausea and vomiting due to a suspected CHS exacerbation. Read More

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http://dx.doi.org/10.1111/acem.14062DOI Listing

Academic Emergency Medicine Physicians' Anxiety Levels, Stressors and Potential Stress Mitigation Measures during the Acceleration Phase of the COVID-19 Pandemic.

Acad Emerg Med 2020 Jun 22. Epub 2020 Jun 22.

Department of Emergency Medicine, University of California at Los Angeles School of Medicine.

Objective: To assess anxiety and burnout levels, home life changes and measures to relieve stress of United States academic emergency medicine (EM) physicians during the COVID-19 pandemic acceleration phase.

Methods: We sent a cross-sectional email survey to all EM physicians at seven academic emergency departments. The survey incorporated items from validated stress scales and assessed perceptions and key elements in the following domains: numbers of suspected COVID-19 patients, availability of diagnostic testing, levels of home and workplace anxiety, severity of work burnout, identification of stressors, changes in home behaviors, and measures to decrease provider anxiety. Read More

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http://dx.doi.org/10.1111/acem.14065DOI Listing

Out-of-Hospital Respiratory Measures To Identify Patients With Serious Injury: A Systematic Review.

Acad Emerg Med 2020 Jun 22. Epub 2020 Jun 22.

Pacific Northwest Evidence-based Practice Center, Portland, Oregon, USA.

Objectives: To systematically review the published literature on the diagnostic accuracy of out-of-hospital respiratory measures for identifying patients with serious injury, focusing on measures feasible for field triage by emergency medical services (EMS) personnel.

Methods: We searched Ovid MEDLINE , CINAHL , and the Cochrane databases from January 1, 1996 through August 31, 2017. We included studies on the diagnostic accuracy (sensitivity, specificity, and area under the receiver operating characteristic curve [AUROC]) for all respiratory measures used to identify patients with serious injury (resource use, serious anatomic injury, and mortality). Read More

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http://dx.doi.org/10.1111/acem.14055DOI Listing

Atraumatic versus Conventional Needles for Lumbar Puncture.

Acad Emerg Med 2020 Jun 22. Epub 2020 Jun 22.

Brooke Army Medical Center, Department of Emergency Medicine.

Over 350,000 lumbar punctures (LP) are performed in acute care settings each year in the United States. Post-dural puncture headache (PDPH) is one of the most common complications after an LP, occurring in approximately 11% of patients, with one study reporting an occurrence rate of up to 36%. While PDPH has been attributed to multiple factors, needle tip design has been frequently investigated as a potential cause. Read More

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http://dx.doi.org/10.1111/acem.14061DOI Listing

The Perils of Diagnostic Parsimony.

Acad Emerg Med 2020 Jun 22. Epub 2020 Jun 22.

University of Virginia Medical Center, Department of Medical Toxicology, Charlottesville, Virginia, USA.

Mrs. P. waved at one of our medical students: not so unusual - how often do patients find something familiar or interesting in one of us, a tone of the relatable in our universe of the strange? For Mrs. Read More

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http://dx.doi.org/10.1111/acem.14060DOI Listing

Out-of-Hospital Circulatory Measures To Identify Patients With Serious Injury: A Systematic Review.

Acad Emerg Med 2020 Jun 17. Epub 2020 Jun 17.

Pacific Northwest Evidence-based Practice Center, Portland, Oregon, USA.

Study Objective: To systematically identify and summarize out-of-hospital measures of circulatory compromise as diagnostic predictors of serious injury, focusing on measures usable by emergency medical services (EMS) to inform field triage decisions.

Methods: We searched Ovid MEDLINE , CINAHL , and the Cochrane databases from 1996 through August 2017 for published literature on individual circulatory measures in trauma. We reviewed reference lists of included articles for additional relevant citations. Read More

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http://dx.doi.org/10.1111/acem.14056DOI Listing

Hot off the Press: SGEM#293: Crash in the US, Crash in the US, CRASH-2 in the USA.

Acad Emerg Med 2020 Jun 17. Epub 2020 Jun 17.

University of Western Ontario, Goderich, Ontario, Canada.

The CRASH-2 and CRASH-3 trials evaluated the use of tranexamic acid (TXA) in trauma patients, assessing the outcomes of mortality reduction as well as thromboembolic outcomes. Neither study included any significant number of US trauma patients. The discussed manuscript is a retrospective study of adult trauma patients, in the US, who received TXA and assess overall mortality and thromboembolic outcomes. Read More

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http://dx.doi.org/10.1111/acem.14058DOI Listing

Corticosteroids in the Treatment of Sepsis.

Acad Emerg Med 2020 Jun 17. Epub 2020 Jun 17.

Department of Emergency Medicine, Jackson South Medical Center, Miami, FL, U.S.A.

The review summarized here by Annane et al found that corticosteroids may confer a short-term, but not overall, mortality benefit for patients with sepsis. Specifically, they found moderate certainty evidence for reduced 28-day mortality (relative risk [RR] 0.91, 95% confidence interval [CI] 0. Read More

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http://dx.doi.org/10.1111/acem.14057DOI Listing

Effect of the Coronavirus Disease 2019 (COVID-19) Pandemic on the U.S. Emergency Medical Services System: A Preliminary Report.

Acad Emerg Med 2020 Jun 17. Epub 2020 Jun 17.

and the, Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, UT, USA.

Background: Our objective was to quantify trends in emergency medical services (EMS) incidents as the effects of the COVID-19 pandemic spread across the United States and to determine if there was an increase in EMS-attended deaths.

Methods: We conducted a 3-year comparative retrospective cohort analysis of data from the National EMS Information System. Data were included if care was provided between the 40th and 21st weeks of the next year and compared over 3 years. Read More

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http://dx.doi.org/10.1111/acem.14051DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7323429PMC

Emergency department-initiated interventions for patients with opioid use disorder: a systematic review.

Acad Emerg Med 2020 Jun 17. Epub 2020 Jun 17.

Department of Emergency Medicine, University of British-Columbia, Vancouver, British Columbia, Canada.

Objectives: The opioid crisis has risen dramatically in North America in the new millennium, due to both illegal and prescription opioid use. While emergency departments (EDs) represent a potentially strategic setting for interventions to reduce harm from opioid use disorder (OUD), the absence of a recent synthesis of literature limits implementation and scalability. To fill this gap, we conducted a systematic review of the literature on interventions targeting opioid use disorders initiated in emergency departments. Read More

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http://dx.doi.org/10.1111/acem.14054DOI Listing

The Fine Balance: Adapting Clinical Research Into COVID-19 Response.

Acad Emerg Med 2020 Jun 17. Epub 2020 Jun 17.

and the, Department of Emergency Medicine, Los Angeles David Geffen School of Medicine, University of California, Los Angeles, CA.

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http://dx.doi.org/10.1111/acem.14059DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7323078PMC

Prognosis, Prognosis, Wherefore Art Thou Prognosis?

Authors:
Phillip D Levy

Acad Emerg Med 2020 Jun 15. Epub 2020 Jun 15.

Wayne State University, Integrative Biosciences Center, 6135 Woodward Ave, Detroit, MI, 48202, USA.

As this investigative team aptly notes, uptake of hs-Tn in the US has lagged compared to the rest of the world. While reasons for this lie primarily with approval delays at the Food and Drug Administration (FDA), there remains a reluctance in many institutions to shift from conventional assays to their more sensitive counterparts. When pressed, decision makers at such facilities point to the absence of US data and feign uncertainty about potential accuracy in "their" patient populations. Read More

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http://dx.doi.org/10.1111/acem.14049DOI Listing

Diagnosing COVID-19 in the Emergency Department: A Scoping Review of Clinical Exam, Labs, Imaging Accuracy and Biases.

Acad Emerg Med 2020 Jun 16. Epub 2020 Jun 16.

Vice President of Medical Affairs, Asante Rogue Regional Medical Center, Medford, OR, USA.

In December 2019 a novel viral respiratory pathogen emerged in China, ultimately named severe acute respiratory syndrome coronavirus 2 (SARS-Co-V-2) with the clinical illness dubbed coronavirus disease (COVID-19). COVID-19 became a global pandemic in early 2020 forcing governments worldwide to enact social isolation policies with dire economic ramifications. Emergency departments (ED) encountered decreased patient volumes before some in Seattle, New York City, New Orleans, and Detroit experienced waves of COVID-19 patients mixed with asymptomatic patients or those concerned about potential exposures. Read More

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http://dx.doi.org/10.1111/acem.14048DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7323136PMC

The Adjunctive Effect of Intravenous Magnesium Sulfate in Acute Exacerbation of COPD: A Randomized Controlled Clinical Trial.

Acad Emerg Med 2020 Jun 15. Epub 2020 Jun 15.

Faculty of medicine, Tehran university of medical sciences, Tahran, Iran.

Chronic Obstructive Pulmonary Disease (COPD) is the third leading cause of death worldwide. Acute exacerbation of COPD (AECOPD) is a serious event during the natural course of the disease. Despite many clinical trials on the management of AECOPD, treatment has not changed significantly during the past decades. Read More

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http://dx.doi.org/10.1111/acem.14050DOI Listing

Differences Between Emergency Department and Urgent Care Users for Low-Acuity Health Needs: A Public Opinion Analysis.

Acad Emerg Med 2020 Jun 15. Epub 2020 Jun 15.

Harvard T.H. Chan School of Public Health, Boston, MA, USA.

The emergency department (ED) is a commonly utilized healthcare setting for many Americans when unexpected health challenges arise. Though vital, the ED is viewed as an expensive site of care, especially for conditions that could be managed in less resource-intensive settings. Prior estimates have suggested that a sizable proportion of ED visits are for low-acuity complaints that could be treated in cheaper alternatives, such as urgent care (UC) centers or retail clinics. Read More

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http://dx.doi.org/10.1111/acem.14047DOI Listing

Prehospital Care at the Epicenter of a Pandemic: The New York City EMS Response.

Acad Emerg Med 2020 Jun 12. Epub 2020 Jun 12.

Maimonides Medical Center, Department of Emergency Medicine, Brooklyn, New York, USA.

The New York City 911 system recorded 5,700 medical calls on Tuesday, March 24th, the most in recorded history. On March 25th, the call number increased to 5,800, then 6,200 calls on March 27th and 6,500 calls on March 30th. By April 2nd, over 3,000 FDNY members were on leave for illness. Read More

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http://dx.doi.org/10.1111/acem.14045DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7323300PMC

The Importance of the Intubation Process for the Safety of Emergency Airway Management.

Acad Emerg Med 2020 Jun 10. Epub 2020 Jun 10.

Department of Emergency Medicine, Brigham and Women's Hospital, Boston, MA, USA.

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http://dx.doi.org/10.1111/acem.14041DOI Listing

Nassim: The Boy Who Never Came Home and Other Reflections From War.

Authors:
Anant Shukla

Acad Emerg Med 2020 Jun 8. Epub 2020 Jun 8.

Mendoza Aviation Clinic, William Beaumont Army Medical Center, Fort Bliss, TX, USA.

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http://dx.doi.org/10.1111/acem.14040DOI Listing

D-dimer Triage for COVID-19.

Acad Emerg Med 2020 Jun 7. Epub 2020 Jun 7.

and the, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China.

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http://dx.doi.org/10.1111/acem.14037DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7301005PMC

Redirecting the Laryngoscopy Debate and Optimizing Emergency Airway Management.

Acad Emerg Med 2020 Jun 7. Epub 2020 Jun 7.

Dartmouth Geisel School of Medicine, Department of Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.

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http://dx.doi.org/10.1111/acem.14043DOI Listing

Ondansetron (Zofran) in Pediatric Gastroenteritis.

Acad Emerg Med 2020 Jun 7. Epub 2020 Jun 7.

Department of Pediatric Emergency Medicine, Kings County Hospital Center, Brooklyn, New York, United States.

Gastroenteritis is a common disease in children that presents predominantly with vomiting and diarrhea. According to the Center for Disease Control and Prevention (CDC), it accounts for 220,000 hospitalizations in the United States. [1] Vomiting and diarrhea, in combination with decreased oral intake, can lead to dehydration. Read More

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http://dx.doi.org/10.1111/acem.14042DOI Listing

Diagnostic Performance of a Rapid Point of Care Test for SARS-CoV-2 in an Urban ED Setting.

Acad Emerg Med 2020 Jun 3. Epub 2020 Jun 3.

Department of Emergency Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA.

The ability to rapidly and accurately identify a patient's COVID-19 status has had significant impact on emergency departments (ED) and health systems globally. Since the identification of SARS-CoV-2 illness in the United States, there has been rapid development in patient testing capacity following initial challenges including sparse availability. This was made possible by increasing availability of diagnostic molecular tests in several formats, from laboratory based traditional, RT-PCR methods to near patient testing rapid point of care PCR tests. Read More

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http://dx.doi.org/10.1111/acem.14039DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7300492PMC

Information and Disinformation: Social Media in the COVID-19 Crisis.

Acad Emerg Med 2020 May 31. Epub 2020 May 31.

Department of Emergency Medicine, John H. Stroger, Jr. Hospital of Cook County, Chicago, IL, USA.

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http://dx.doi.org/10.1111/acem.14036DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7300599PMC

Sweet Daniel James.

Authors:
Laurel O'Connor

Acad Emerg Med 2020 May 31. Epub 2020 May 31.

Department of Emergency Medicine, University of Massachusetts Medical School, Worcester, MA, USA.

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http://dx.doi.org/10.1111/acem.14038DOI Listing

Hospitalization Is Less Common in Ambulatory Patients With Acute Pulmonary Embolism Diagnosed Before Emergency Department Referral Than After Arrival.

Acad Emerg Med 2020 May 29. Epub 2020 May 29.

From, The Permanente Medical Group, Oakland, CA, USA.

Background: Emergency department (ED) patients with acute pulmonary embolism (PE) may undergo diagnostic pulmonary imaging as an outpatient before referral to the ED for definitive management. This population has not been well characterized.

Methods: This retrospective cohort study included ambulatory adults with acute objectively confirmed PE across 21 EDs in an integrated health care system from January 1, 2013, through April 30, 2015. Read More

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http://dx.doi.org/10.1111/acem.14034DOI Listing

Conscious Proning: An Introduction of a Proning Protocol for Nonintubated, Awake, Hypoxic Emergency Department COVID-19 Patients.

Acad Emerg Med 2020 May 27. Epub 2020 May 27.

From the, Department of Emergency Medicine, NYP Weill Cornell Medical Center, New York, NY, USA.

The novel coronavirus, or COVID-19, has rapidly become a global pandemic. A major cause of morbidity and mortality due to COVID-19 has been the worsening hypoxia that, if untreated, can progress to acute respiratory distress syndrome (ARDS) and respiratory failure. Past work has found that intubated patients with ARDS experience physiological benefits to the prone position, because it promotes better matching of pulmonary perfusion to ventilation, improved secretion clearance, and recruitment of dependent areas of the lungs. Read More

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http://dx.doi.org/10.1111/acem.14035DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7283629PMC

Mobile Smartphone Technology Is Associated With Out-of-hospital Cardiac Arrest Survival Improvement: The First Year "Greater Paris Fire Brigade" Experience.

Acad Emerg Med 2020 May 23. Epub 2020 May 23.

From the, Emergency Medical Department, Paris Fire Brigade, Paris, France.

Background: Out-of-hospital cardiac arrest (OHCA) remains associated with very high mortality. Accelerating the initiation of efficient cardiopulmonary resuscitation (CPR) is widely perceived as key to improving outcomes. The main goal was to determine whether identification and activation of nearby first responders through a smartphone application named Staying Alive (SA) can improve survival following OHCA in a large urban area (Paris). Read More

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http://dx.doi.org/10.1111/acem.13987DOI Listing

Relationship Between Pain, Opioid Treatment, and Delirium in Older Emergency Department Patients.

Acad Emerg Med 2020 May 22. Epub 2020 May 22.

CHU de Québec-Université Laval, Québec, Québec, Canada.

Objectives: Emergency department (ED) stay and its associated conditions (immobility, inadequate hydration and nutrition, lack of stimulation) increase the risk of delirium in older patients. Poorly controlled pain and paradoxically opioid pain treatment have also been identified as triggers for delirium. The aim of this study was to assess the relationship between pain, opioid treatment, and delirium in older ED patients. Read More

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http://dx.doi.org/10.1111/acem.14033DOI Listing

How Accurately Do Older Adult Emergency Department Patients Recall Their Medications?

Acad Emerg Med 2020 May 21. Epub 2020 May 21.

From the, Department of Health Services, Policy and Practice, Brown University School of Public Health, Providence, RI, USA.

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http://dx.doi.org/10.1111/acem.14032DOI Listing

Effect of Tight Glycemic Control on Patients With Ischemic Stroke.

Acad Emerg Med 2020 May 19. Epub 2020 May 19.

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

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http://dx.doi.org/10.1111/acem.14017DOI Listing

Death.

Acad Emerg Med 2020 Jun 18;27(6):531. Epub 2020 May 18.

Emergency Medicine, Medical College of Wisconsin, Milwuakee, WI, USA.

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http://dx.doi.org/10.1111/acem.13979DOI Listing

For Us, COVID-19 Is Personal.

Acad Emerg Med 2020 May 17. Epub 2020 May 17.

From the, Department of Emergency Medicine, George Washington University, Washington, DC, USA.

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http://dx.doi.org/10.1111/acem.14016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7276752PMC

Perspective Differences Between Attending Physician and Medical Student.

Acad Emerg Med 2020 May 16. Epub 2020 May 16.

School of Medicine, Medical College of Wisconsin, Wauwatosa, WI, USA.

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http://dx.doi.org/10.1111/acem.14015DOI Listing

Systemic Corticosteroids for Acute Exacerbations of Chronic Obstructive Pulmonary Diseases.

Acad Emerg Med 2020 May 16. Epub 2020 May 16.

From the, Department of Emergency Medicine, University of Pittsburgh, Pittsburgh, PA, USA.

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http://dx.doi.org/10.1111/acem.14012DOI Listing

Defining High-risk Emergency Chief Complaints: Data-driven Triage for Low- and Middle-income Countries.

Acad Emerg Med 2020 May 16. Epub 2020 May 16.

From the Department of Emergency Medicine, Stanford University, Palo Alto, CA, USA.

Objectives: Emergency medicine in low- and middle-income countries (LMICs) is hindered by lack of research into patient outcomes. Chief complaints (CCs) are fundamental to emergency care but have only recently been uniquely codified for an LMIC setting in Uganda. It is not known whether CCs independently predict emergency unit patient outcomes. Read More

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http://dx.doi.org/10.1111/acem.14013DOI Listing