12,657 results match your criteria Annals of emergency medicine[Journal]


Guideline-Based Clinical Assessment Versus Procalcitonin-Guided Antibiotic Use in Pneumonia: A Pragmatic Randomized Trial.

Ann Emerg Med 2019 Apr 11. Epub 2019 Apr 11.

Department of Emergency Medicine and Department of Medicine, Division of Infectious Diseases, Olive View-University of California, Los Angeles Medical Center, Sylmar, California; David Geffen School of Medicine at University of California, Los Angeles. Electronic address:

Study Objective: Efforts to reduce unnecessary and unnecessarily long antibiotic treatment for community-acquired pneumonia have been attempted through use of procalcitonin and through guidelines based on serial clinical assessment. Our aim is to compare guideline-based clinical assessment- and procalcitonin algorithm-guided antibiotic use among patients with community-acquired pneumonia.

Methods: We performed a pragmatic, randomized, multicenter trial from November 2012 to April 2015 at 12 French hospitals. Read More

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http://dx.doi.org/10.1016/j.annemergmed.2019.02.025DOI Listing
April 2019
1 Read

Do Antibiotics Improve Outcomes in Patients With Acute Asthma Exacerbations?

Ann Emerg Med 2019 Apr 11. Epub 2019 Apr 11.

Department of Emergency Medicine, Envision Physician Services, University of Central Florida College of Medicine, Orlando, FL.

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http://dx.doi.org/10.1016/j.annemergmed.2019.02.033DOI Listing

Simulation, Selection, and Mechanical Turk: Can Cases Presented Online Help Us Learn About Shared Decisionmaking and Medical Malpractice?

Authors:
Gregory W Ramsey

Ann Emerg Med 2019 Apr 11. Epub 2019 Apr 11.

Department of Information Science & Systems, E. Graves School of Business and Management, Morgan State University, Baltimore, MD. Electronic address:

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http://dx.doi.org/10.1016/j.annemergmed.2019.03.003DOI Listing

New Trends in Terrorism-Related Injury Mechanisms: Is There a Difference in Injury Severity?

Ann Emerg Med 2019 Apr 11. Epub 2019 Apr 11.

Israel National Center for Trauma and Emergency Research, Gertner Institute, Tel Hashomer, Israel; Faculty of Medicine, School of Public Health, Tel Aviv University, Tel Aviv, Israel. Electronic address:

Study Objective: The latest wave of terrorism worldwide has seen significant use by terrorists of mundane, "low-technology" weapons, such as utility knives and civilian vehicles. How do the injuries they produce compare with that of more conventional terrorism mechanisms, such as use of firearms and explosives? We compare injury patterns of the most frequent terrorism-related injury mechanisms in an Israeli data set.

Methods: This was a retrospective study of 1,858 patients hospitalized because of terrorism events, which were recorded in the Israeli National Trauma Registry between January 1997 and December 2016. Read More

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http://dx.doi.org/10.1016/j.annemergmed.2019.02.034DOI Listing

Financial Conflicts of Interest Among Emergency Medicine Journals' Editorial Boards.

Ann Emerg Med 2019 Apr 5. Epub 2019 Apr 5.

Department of Emergency Medicine, Feinberg School of Medicine, Northwestern University, and JAMA Network Open, Chicago, IL.

Study Objective: We aim to characterize the prevalence of financial conflicts of interest among emergency medicine journal editorial board members.

Methods: We conducted a cross-sectional study of editorial board members of leading peer-reviewed emergency medicine journals. A list of highly cited emergency medicine journals was curated with Journal Citation Reports and Google Scholar Metrics. Read More

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http://dx.doi.org/10.1016/j.annemergmed.2019.02.020DOI Listing

The Reality of Pain Scoring in the Emergency Department: Findings From a Multiple Case Study Design.

Ann Emerg Med 2019 Apr 5. Epub 2019 Apr 5.

School of Health and Related Research, University of Sheffield, Sheffield, England.

Study Objective: Documentation of pain severity with pain scores is recommended within emergency departments (EDs) to improve consistency of assessment and management of pain. Pain scores are used in treatment guidelines and triage algorithms to determine pain management and in audit and research to evaluate pain management practices. Despite significant debate of their benefits, there has been limited evaluation of their use in practice. Read More

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http://dx.doi.org/10.1016/j.annemergmed.2019.02.018DOI Listing

Evaluation of Outpatient Cardiac Stress Testing After Emergency Department Encounters for Suspected Acute Coronary Syndrome.

Ann Emerg Med 2019 Apr 5. Epub 2019 Apr 5.

Research and Evaluation Department, Kaiser Permanente Southern California, Pasadena, CA. Electronic address:

Study Objective: Professional guidelines recommend 72-hour cardiac stress testing after an emergency department (ED) evaluation for possible acute coronary syndrome. There are limited data on actual compliance rates and effect on patient outcomes. Our aim is to describe rates of completion of noninvasive cardiac stress testing and associated 30-day major adverse cardiac events. Read More

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http://dx.doi.org/10.1016/j.annemergmed.2019.01.027DOI Listing
April 2019
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A Randomized, Placebo-Controlled Trial of Ibuprofen Plus Metaxalone, Tizanidine, or Baclofen for Acute Low Back Pain.

Ann Emerg Med 2019 Apr 5. Epub 2019 Apr 5.

Department of Emergency Medicine, Albert Einstein College of Medicine, Montefiore, Bronx, NY.

Study Objective: Patients with low back pain are often treated with nonsteroidal anti-inflammatory drugs and skeletal muscle relaxants. We compare functional outcomes and pain among patients with acute low back pain who were randomized to a 1-week course of ibuprofen plus placebo versus ibuprofen plus 1 of 3 skeletal muscle relaxants: baclofen, metaxalone, and tizanidine.

Methods: This was a randomized, double-blind, parallel-group, 4-arm study conducted in 2 urban emergency departments (EDs). Read More

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http://dx.doi.org/10.1016/j.annemergmed.2019.02.017DOI Listing
April 2019
2 Reads

The Efficacy of Antivenin Latrodectus (Black Widow) Equine Immune F(ab') Versus Placebo in the Treatment of Latrodectism: A Randomized, Double-Blind, Placebo-Controlled, Clinical Trial.

Ann Emerg Med 2019 Mar 26. Epub 2019 Mar 26.

Rocky Mountain Poison and Drug Center, Denver Health and Hospital Authority, Denver, CO.

Study Objective: The antivenom currently available for treatment of systemic black widow envenomation (latrodectism) is composed of equine whole immunoglobin. Although considered effective, it has been associated with anaphylaxis and 2 reported fatalities. We test the efficacy and safety of new equine antivenom composed of purified F(ab') antibody fragments. Read More

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http://dx.doi.org/10.1016/j.annemergmed.2019.02.007DOI Listing
March 2019
1 Read
4.676 Impact Factor

Prehospital Analgesia With Intranasal Ketamine (PAIN-K): A Randomized Double-Blind Trial in Adults.

Ann Emerg Med 2019 Mar 27. Epub 2019 Mar 27.

British Columbia Emergency Health Services, Vancouver, British Columbia, Canada.

Study Objective: We compare intranasal ketamine with intranasal placebo in providing pain reduction at 30 minutes when added to usual paramedic care with nitrous oxide.

Methods: This was a randomized double-blind study of out-of-hospital patients with acute pain who reported a verbal numeric rating scale (VNRS) pain score greater than or equal to 5. Exclusion criteria were younger than 18 years, known ketamine intolerance, nontraumatic chest pain, altered mental status, pregnancy, and nasal occlusion. Read More

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http://dx.doi.org/10.1016/j.annemergmed.2019.01.048DOI Listing
March 2019
1 Read

The Utility and Survivorship of Peripheral Intravenous Catheters Inserted in the Emergency Department.

Ann Emerg Med 2019 Mar 26. Epub 2019 Mar 26.

Health Policy and Management and Emergency Medicine, George Washington University, Washington, DC.

Study Objective: We compare the use and survivorship rate of peripheral intravenous catheters placed in the emergency department (ED) by insertion method.

Methods: We analyzed a prospective cohort of ED patients who received a peripheral intravenous catheter in the ED by ultrasonographically guided or landmark insertion. Research assistants recorded the uses of the ED-inserted catheters during the ED visit and hospitalization. Read More

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http://dx.doi.org/10.1016/j.annemergmed.2019.02.003DOI Listing
March 2019
1 Read

Effect of Initial Bedside Ultrasonography on Emergency Department Skin and Soft Tissue Infection Management.

Ann Emerg Med 2019 Mar 26. Epub 2019 Mar 26.

Department of Emergency Medicine and Department of Medicine, Division of Infectious Diseases, Olive View-UCLA Medical Center, Sylmar, CA.

Study Objective: We examine the utility of emergency department (ED) ultrasonography in treatment of skin and soft tissue infections.

Methods: We enrolled ED patients with skin and soft tissue infections and surveyed clinicians in regard to their pre-ultrasonography certainty about the presence or absence of an abscess, their planned management, post-ultrasonography findings, and actual management. We determined sensitivity and specificity of ultrasonography and clinical evaluation, and assessed appropriateness of management changes based on initial clinical assessment and outcomes through 1-week follow-up. Read More

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http://dx.doi.org/10.1016/j.annemergmed.2019.02.002DOI Listing
March 2019
4.676 Impact Factor

EMS Can Safely Transport Intoxicated Patients to a Sobering Center as an Alternate Destination.

Ann Emerg Med 2019 Mar 26. Epub 2019 Mar 26.

Department of Emergency Medicine, University of California-San Francisco, CA; Division of Emergency Medical Services, San Francisco Department of Emergency Management, San Francisco, CA.

Study Objective: We evaluate a sobering center as an alternate destination for acute intoxication. Our aims are to count patient visits that originated from emergency medical services (EMS) or the emergency department (ED) that then result in a secondary transfer from the sobering center to the ED, and to describe and categorize the clinical reasons for transfer to the ED.

Methods: The San Francisco Sobering Center, a continuously nurse-staffed facility operating since 2003, provides short-term (6- to 8-hour) care for adults with acute alcohol intoxication. Read More

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http://dx.doi.org/10.1016/j.annemergmed.2019.02.004DOI Listing

Diagnosis of Traumatic Eye Injuries With Point-of-Care Ocular Ultrasonography in the Emergency Department.

Ann Emerg Med 2019 Mar 21. Epub 2019 Mar 21.

Department of Emergency Medicine, George Washington University School of Medicine and Health Sciences, Washington, DC. Electronic address:

Study Objective: Traumatic eye injuries are common emergency department presentations worldwide, and diagnosis may be delayed because of concurrent injuries and lack of guidelines in regard to the utility of clinical examination, computed tomography (CT), and point-of-care ultrasonography. In this study, we compare point-of-care ultrasonography with ophthalmologist clinical examination and CT for 6 types of traumatic eye injury.

Methods: We conducted a prospective cohort study evaluating patients with suspected traumatic eye injury who were recruited at an academic medical center in Tabriz, Iran. Read More

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http://dx.doi.org/10.1016/j.annemergmed.2019.02.001DOI Listing

Old and New: What Blood Is PROPPR in Trauma Resuscitation?

Ann Emerg Med 2019 Mar 19. Epub 2019 Mar 19.

Department of Emergency Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA.

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http://dx.doi.org/10.1016/j.annemergmed.2019.01.041DOI Listing

The Diversity Snowball Effect: The Quest to Increase Diversity in Emergency Medicine: A Case Study of Highland's Emergency Medicine Residency Program.

Ann Emerg Med 2019 Mar 19. Epub 2019 Mar 19.

Alameda County Public Health Department, CAPE Division, Oakland, CA.

Blacks, Hispanics/Latinos, American Indians, Pacific Islanders, Alaska Natives, and Native Hawaiians make up 33% of the US population. These same groups are underrepresented in medicine. In 2013, the physician workforce was 4. Read More

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http://dx.doi.org/10.1016/j.annemergmed.2019.01.039DOI Listing
March 2019
1 Read

Child With Unilateral Temporal Swelling.

Ann Emerg Med 2019 Apr;73(4):e45-e46

University of Trieste, Italy; Institute for Maternal and Child Health, IRCCS "Burlo Garofolo", Trieste, Italy.

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http://dx.doi.org/10.1016/j.annemergmed.2018.10.003DOI Listing

Young Male With Low Back Pain.

Ann Emerg Med 2019 Apr;73(4):e43-e44

Department of Emergency Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.

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http://dx.doi.org/10.1016/j.annemergmed.2018.10.004DOI Listing
April 2019
1 Read

Neonate With Abdominal Distention.

Ann Emerg Med 2019 Apr;73(4):e41-e42

Division of Emergency Medicine, Boston Children's Hospital, Boston, MA.

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http://dx.doi.org/10.1016/j.annemergmed.2018.09.025DOI Listing

Woman With Abdominal Pain.

Ann Emerg Med 2019 Apr;73(4):e39-e40

Department of Emergency Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.

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http://dx.doi.org/10.1016/j.annemergmed.2018.09.023DOI Listing

Should There Now Be a Geriatric BRUE?

Ann Emerg Med 2019 Apr;73(4):426-427

Department of Emergency Medicine, Staten Island University, Staten Island, NY.

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http://dx.doi.org/10.1016/j.annemergmed.2018.11.037DOI Listing

In reply.

Ann Emerg Med 2019 Apr;73(4):425-426

Department of Emergency Medicine, Hassenfeld Children's Hospital at New York University Langone, New York, NY.

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http://dx.doi.org/10.1016/j.annemergmed.2018.11.027DOI Listing

Why a Pelvic Exam is Needed to Diagnose Cervicitis and Pelvic Inflammatory Disease.

Ann Emerg Med 2019 Apr;73(4):424-425

Department of Pediatrics, Pediatric Residency Program, University of Massachusetts Medical School-Baystate, Springfield, MA.

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http://dx.doi.org/10.1016/j.annemergmed.2018.11.028DOI Listing
April 2019
1 Read

In reply.

Ann Emerg Med 2019 Apr;73(4):423-424

Department of Emergency Medicine, Hennepin County Medical Center, Minneapolis, MN.

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http://dx.doi.org/10.1016/j.annemergmed.2018.11.020DOI Listing

Intramuscular Midazolam, Olanzapine, Ziprasidone, or Haloperidol for Treating Acute Agitation.

Ann Emerg Med 2019 Apr;73(4):422-423

Department of Psychiatry, University of Colorado, Denver, CO.

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http://dx.doi.org/10.1016/j.annemergmed.2018.11.019DOI Listing

Dignity and Safety.

Authors:
Anonymous

Ann Emerg Med 2019 Apr;73(4):417-418

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http://dx.doi.org/10.1016/j.annemergmed.2018.12.001DOI Listing

In My Element.

Ann Emerg Med 2019 Apr;73(4):416

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

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http://dx.doi.org/10.1016/j.annemergmed.2018.10.022DOI Listing

Young Male With Epigastric Pain.

Ann Emerg Med 2019 Apr;73(4):415-418

Department of Emergency Medicine, Emory University, Atlanta, GA.

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http://dx.doi.org/10.1016/j.annemergmed.2018.11.023DOI Listing

Sudden Cardiac Death in a Hyperthyroid Adult Female.

Authors:
Kiran K Gudivada

Ann Emerg Med 2019 Apr;73(4):413-414.e1

Department of Critical Care Medicine, St. John's Medical College Hospital, Bangalore, Karnataka, India.

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http://dx.doi.org/10.1016/j.annemergmed.2018.08.432DOI Listing

A single lead of concordant ST deviation in Left Bundle Branch Block.

Ann Emerg Med 2019 Apr;73(4):409-412

Department of Emergency Medicine, Kaiser Permanente San Francisco, San Francisco, CA; University of Maryland School of Medicine, Baltimore, MD; University of Virginia School of Medicine, Charlottesville, VA; Department of Emergency Medicine, UC San Francisco, San Francisco, CA.

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http://dx.doi.org/10.1016/j.annemergmed.2018.05.002DOI Listing

An Ominous ECG Pattern.

Ann Emerg Med 2019 Apr;73(4):406-408

Department of Emergency Medicine, McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, TX.

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http://dx.doi.org/10.1016/j.annemergmed.2018.04.024DOI Listing

Commentary.

Authors:

Ann Emerg Med 2019 Apr;73(4):380-381

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http://dx.doi.org/10.1016/j.annemergmed.2019.02.024DOI Listing

Antibiotics Should Not Be Routinely Prescribed After Incision and Drainage of Uncomplicated Abscesses.

Ann Emerg Med 2019 Apr;73(4):377-378

Division of Infectious Diseases, University of Wisconsin-Madison School of Medicine and Public Health, Madison, WI.

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http://dx.doi.org/10.1016/j.annemergmed.2018.04.026DOI Listing

Stewardship of Patient Outcomes Based on Evidence not Expert Opinion.

Authors:
Peter DeBlieux

Ann Emerg Med 2019 Apr;73(4):375-376

Clinical Medicine LSUHSC, Section of Emergency Medicine, Department of Medicine, New Orleans, LA; Clinical Surgery Tulane, Department of Surgery, University Medical Center, New Orleans, LA.

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http://dx.doi.org/10.1016/j.annemergmed.2018.11.014DOI Listing

Challenging the One-Hour Bundle Goal for Sepsis Antibiotics.

Ann Emerg Med 2019 Apr;73(4):359-362

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

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http://dx.doi.org/10.1016/j.annemergmed.2019.01.030DOI Listing

Man With Erythematous Rash and Muscle Weakness.

Ann Emerg Med 2019 Apr;73(4):333-362

Department of Radiology and Medical Imaging, Hospital São Francisco, Ribeirão Preto, São Paulo, Brazil.

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http://dx.doi.org/10.1016/j.annemergmed.2018.11.022DOI Listing

Are Recanalization Interventions Effective and Safe in the Treatment of Acute Pulmonary Embolism?

Ann Emerg Med 2019 Mar 14. Epub 2019 Mar 14.

Department of Emergency Medicine, San Antonio Uniformed Services Health Education Consortium, Fort Sam Houston, TX.

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https://linkinghub.elsevier.com/retrieve/pii/S01960644193000
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http://dx.doi.org/10.1016/j.annemergmed.2019.01.008DOI Listing
March 2019
9 Reads

High Prevalence of Burnout Among US Emergency Medicine Residents: Results From the 2017 National Emergency Medicine Wellness Survey.

Ann Emerg Med 2019 Mar 14. Epub 2019 Mar 14.

Department of Medicine, Division of Emergency Medicine, University of Chicago, Chicago, IL.

Study Objective: Previous work shows that emergency medicine attending physicians have higher-than-average rates of burnout. Preliminary data suggest that emergency medicine residents are also at risk for burnout. The objective of this study was to conduct the first national survey assessment of US emergency medicine residents to determine the prevalence of burnout. Read More

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http://dx.doi.org/10.1016/j.annemergmed.2019.01.037DOI Listing

Use of End Tidal Oxygen Monitoring to Assess Preoxygenation During Rapid Sequence Intubation in the Emergency Department.

Ann Emerg Med 2019 Mar 14. Epub 2019 Mar 14.

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

Study Objective: Preoxygenation is important to prevent oxygen desaturation during emergency airway management. The purpose of this study is to describe the use of end tidal oxygen (eto) during rapid sequence intubation in the emergency department.

Methods: This study was carried out in 2 academic centers in Sydney, Australia, and New York City. Read More

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http://dx.doi.org/10.1016/j.annemergmed.2019.01.038DOI Listing
March 2019
1 Read

Is Buddy Taping as Effective as Plaster Immobilization for Adults With an Uncomplicated Neck of Fifth Metacarpal Fracture? A Randomized Controlled Trial.

Ann Emerg Med 2019 Mar 7. Epub 2019 Mar 7.

Gold Coast University Hospital, Southport, Australia; Griffith University, Southport, Australia; Bond University, Robina, Australia.

Study Objective: We compare buddy taping with plaster casting for uncomplicated fifth metacarpal (boxer's) fractures. We hypothesize buddy taping will give superior functional outcomes at 12 weeks, defined as a 10-point difference on the Shortened Disabilities of the Arm, Shoulder and Hand (quickDASH) score.

Methods: This randomized controlled trial included patients aged 18 to 70 years, with uncomplicated boxer's fractures in 2 hospitals in Queensland, Australia. Read More

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http://dx.doi.org/10.1016/j.annemergmed.2019.01.032DOI Listing

New Cluster of Acute Flaccid Myelitis in Western Pennsylvania.

Ann Emerg Med 2019 Feb 27. Epub 2019 Feb 27.

Department of Pediatrics, Division of Pediatric Emergency Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA. Electronic address:

Acute flaccid myelitis is a debilitating illness characterized by acute onset of limb weakness, with one or more spinal segments displaying magnetic resonance imaging-confirmed gray matter lesions. Since the first outbreak in 2014, tracking by the Centers for Disease Control and Prevention has demonstrated biennial epidemics in the United States, with a current outbreak occurring in 2018. The cases of 3 children with acute flaccid myelitis who were initially thought to have common nonneurologic diagnoses are presented. Read More

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http://dx.doi.org/10.1016/j.annemergmed.2019.01.024DOI Listing
February 2019
2 Reads

Emergency Department Management of Out-of-Hospital Laryngeal Tubes.

Ann Emerg Med 2019 Feb 27. Epub 2019 Feb 27.

Department of Emergency Medicine, Hennepin County Medical Center, Minneapolis, MN.

Study Objective: Laryngeal tubes are commonly used by emergency medical services (EMS) personnel for out-of-hospital advanced airway management. The emergency department (ED) management of EMS-placed laryngeal tubes is unknown. We seek to describe ED airway management techniques, success, and complications of patients receiving EMS laryngeal tubes. Read More

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http://dx.doi.org/10.1016/j.annemergmed.2019.01.025DOI Listing
February 2019
3 Reads

Derivation and Validation of the SWAP Score for Very Early Prediction of Neurologic Outcome in Patients With Out-of-Hospital Cardiac Arrest.

Ann Emerg Med 2019 Feb 25. Epub 2019 Feb 25.

Department of Emergency Medicine, China Medical University Hospital, Taichung City, Taiwan; School of Medicine, College of Medicine, China Medical University, Taichung City, Taiwan. Electronic address:

Study Objective: For patients with out-of-hospital cardiac arrest who receive cardiopulmonary resuscitation in an emergency department (ED), the early evaluation of their neurologic prognosis is essential for emergency physicians. The aim of this study is to establish a simple and useful assessment tool for rapidly estimating the prognosis of patients with out-of-hospital cardiac arrest after their arrival at an ED.

Methods: A total of 852 patients admitted from January 1, 2015, to June 30, 2017, were prospectively registered and enrolled in the derivation cohort. Read More

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http://dx.doi.org/10.1016/j.annemergmed.2019.01.017DOI Listing
February 2019
1 Read

Randomized Trial of Intravenous Lidocaine Versus Hydromorphone for Acute Abdominal Pain in the Emergency Department.

Ann Emerg Med 2019 Feb 25. Epub 2019 Feb 25.

Department of Emergency Medicine, Albert Einstein College of Medicine, Montefiore, Bronx, NY.

Study Objective: We compare the efficacy and safety of intravenous lidocaine with that of hydromorphone for the treatment of acute abdominal pain in the emergency department (ED).

Methods: This was a randomized, double-blind, clinical trial conducted in 2 EDs in the Bronx, NY. Adults weighing 60 to 120 kg were randomized to receive 120 mg of intravenous lidocaine or 1 mg of intravenous hydromorphone. Read More

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http://dx.doi.org/10.1016/j.annemergmed.2019.01.021DOI Listing
February 2019
1 Read

Can the Probiotic Lactobacillus reuteri Be Used to Treat Infant Colic?

Ann Emerg Med 2019 Mar 26;73(3):272-273. Epub 2018 Oct 26.

Department of Emergency Medicine, Christiana Care Health Services, Newark, DE.

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http://dx.doi.org/10.1016/j.annemergmed.2018.09.016DOI Listing

Disparities in Emergency Department Visits Among Collocated Racial/Ethnic Medicare Enrollees.

Ann Emerg Med 2019 Mar 26;73(3):225-235. Epub 2018 Oct 26.

Department of Emergency Medicine, Boston University School of Medicine, Boston, MA; Boston Medical Center, Boston, MA.

Study Objective: We estimate emergency department (ED) use differences across Medicare enrollees of different race/ethnicity who are residing in the same zip codes.

Methods: In this retrospective cohort study, we stratified all Medicare fee-for-service beneficiaries aged 66 years and older (2006 to 2012) by residence zip code and identified zip codes with racial/ethnic diversity, defined as containing at least 1 enrollee from each of 3 racial/ethnic groups: Hispanics, (non-Hispanic) blacks, and (non-Hispanic) whites. Our primary study population consisted of a stratified random sample of approximately equal number of each racial/ethnic group from each zip code with racial/ethnic diversity (N=1,563,631). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01960644183126
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http://dx.doi.org/10.1016/j.annemergmed.2018.09.007DOI Listing
March 2019
4 Reads

Acute Pain Resolution After an Emergency Department Visit: A 14-Day Trajectory Analysis.

Ann Emerg Med 2019 Feb 20. Epub 2019 Feb 20.

Department of Emergency Medicine, Research Centre, Hôpital du Sacré-Coeur de Montréal (CIUSSS du Nord-de-l'Île de-Montréal), Montreal, Quebec, Canada; Département de Médecine Familiale et de Médecine d'Urgence, Faculté de Médecine, Université de Montréal, Montreal, Quebec, Canada.

Study Objective: The objective of the study is to evaluate the acute pain intensity evolution in emergency department (ED) discharged patients, using group-based trajectory modeling. This method identifies patient groups with similar profiles of change over time without assuming the existence of a particular pattern or number of groups.

Methods: This was a prospective cohort study of ED patients aged 18 years or older, with an acute pain condition (≤2 weeks), and discharged with an opioid prescription. Read More

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http://dx.doi.org/10.1016/j.annemergmed.2019.01.019DOI Listing
February 2019
1 Read

Lights and Siren: A Risky Business?

Ann Emerg Med 2019 Feb 20. Epub 2019 Feb 20.

Department of Emergency Medicine, UT Health San Antonio, San Antonio, TX. Electronic address:

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http://dx.doi.org/10.1016/j.annemergmed.2019.01.026DOI Listing
February 2019

Effect of a HEART Care Pathway on Chest Pain Management Within an Integrated Health System.

Ann Emerg Med 2019 Feb 20. Epub 2019 Feb 20.

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

Study Objective: We describe the association of implementing a History, ECG, Age, Risk Factors, and Troponin (HEART) care pathway on use of hospital care and noninvasive stress testing, as well as 30-day patient outcomes in community emergency departments (EDs).

Methods: We performed a prospective interrupted-time-series study of adult encounters for patients evaluated for suspected acute coronary syndrome. The primary outcome was hospitalization or observation, noninvasive stress testing, or both within 30 days. Read More

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http://dx.doi.org/10.1016/j.annemergmed.2019.01.007DOI Listing
February 2019