359,016 results match your criteria Emergency radiology[Journal]


[Innovative New Evacuation Concept with Emergency Mattresses].

Z Orthop Unfall 2018 Dec 14;156(6):723-724. Epub 2018 Dec 14.

Sicherheitsmanagement, Klinikverbund Südwest GmbH, Sindelfingen.

Indication: In-hospital patients with limited mobility are extremely vulnerable in cases of emergency or fire. In the past, several large fires in multi-story hospitals have resulted in deaths.

Methods: For this reason, we have developed an evacuation mattress that incorporates the functions of an evacuation towel with the comfort of a normal mattress. Read More

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December 2018

Commentary: Neurosurgical Coverage for Emergency and Trauma Call.

Authors:
Aziz S Alali

Neurosurgery 2018 Dec 14. Epub 2018 Dec 14.

Department of Neurological Surgery, University of Washington, Seattle, Washington.

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December 2018

Identifying Aspects of Sameness to Promote Veteran Reintegration with Civilians: Evidence and Implications for Military Social Work.

Health Soc Work 2018 Dec 14. Epub 2018 Dec 14.

Derrick Kranke, PhD, is health science specialist, Veterans Emergency Management Evaluation Center (VEMEC), Department of Veterans Affairs (VA), 16111 Plummer Street, North Hills, CA 91343; e-mail: Jerry Floersch, PhD, LCSW, is associate professor, School of Social Work, Rutgers University, The State University of New Jersey, New Brunswick. Aram Dobalian, PhD, is director, VEMEC, VA, North Hills, CA.

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December 2018

Stakeholder perspectives on implementing fentanyl drug checking: Results from a multi-site study.

Drug Alcohol Depend 2018 Nov 13;194:527-532. Epub 2018 Nov 13.

Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Hampton House 163, Baltimore, MD, USA.

Background: The opioid epidemic is one of the greatest public health crises of our times, driven increasingly by synthetic opioids such as fentanyl in the heroin supply. The implementation of drug checking in community settings has the potential to reduce the burden of fatal overdose, provide harm reduction education around safer drug consumption, and increase health access among people who use drugs (PWUD). To inform program development, we explored stakeholder opinions on drug checking technologies and implementation considerations. Read More

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November 2018

Erratum to "When DAWN went dark: Can the Nationwide Emergency Department Sample (NEDS) fill the surveillance gap left by the discontinued Drug Abuse Warning Network (DAWN)?" [Drug Alcohol Depend. (2018) 201-207].

Drug Alcohol Depend 2018 Dec 11;194:526. Epub 2018 Dec 11.

Office of National Drug Control Policy, Executive Office of the President, Washington DC, 20503, USA. Electronic address:

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December 2018

A tick beat in the electrocardiogram: Persistent third degree block as only manifestation of Lyme disease.

J Electrocardiol 2018 Dec 6;52:109-111. Epub 2018 Dec 6.

Internal Medicine Department, Hospital Universitario, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, Mexico.

Lyme disease is the most common tick-borne illness in North America. A 23-year-old female presented to our emergency department with a chief complaint of sudden dyspnea and chest pain. An electrocardiogram revealed a third degree heart block. Read More

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December 2018

Promoting opioid overdose prevention and recovery: An exploratory study of an innovative intervention model to address opioid abuse.

Int J Drug Policy 2018 Dec 11;64:21-29. Epub 2018 Dec 11.

NJ Division of Mental Health and Addiction Services, Office of Planning, Research, Evaluation and Prevention, 222 South Warren Street, Trenton, NJ 08625-0700, United States. Electronic address:

Background: Fatal opioid overdose is a national public health concern in the United States and a critical problem confronting New Jersey's addiction treatment system. New Jersey developed an innovative program, the Opioid Overdose Recovery Program (OORP), to address the epidemic and the issue of low treatment admissions following a non-fatal overdose. The OORP utilizes an intervention model with peer recovery specialists (RSs) and patient navigators (PNs) to engage individuals within emergency departments (EDs) immediately following an opioid overdose reversal. Read More

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December 2018

Lifting, tasting, and carrying: The interaction of magnitude and valence effects in time perception.

Acta Psychol (Amst) 2018 Dec 11;193:1-10. Epub 2018 Dec 11.

Department of Psychological Sciences, University of Connecticut, USA; Department of Psychology, Gordon College, USA.

Magnitude effects (e.g., heavier or faster is longer) and valence effects (e. Read More

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December 2018

Effect of education using the virtual social network on the knowledge and attitude of emergency nurses of disaster preparedness: A quasi-experiment study.

Nurse Educ Today 2018 Dec 6;73:88-93. Epub 2018 Dec 6.

School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran. Electronic address:

Background: Nurses play an important role in helping people to cope with disasters. Dealing with disasters requires proper knowledge, attitudes and skills that can be achieved through education. Education through virtual social networks as a method of distance education can be used due to its accessibility and ease of use. Read More

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December 2018

Associations of Patient Experience in Primary Care With Hospitalizations and Emergency Department Visits on Isolated Islands: A Prospective Cohort Study.

J Rural Health 2018 Dec 14. Epub 2018 Dec 14.

Department of Family and Community Medicine, Hamamatsu University School of Medicine, Higashi-ku, Hamamatsu, Shizuoka, Japan.

Purpose: In rural areas, the management of hospitalizations and emergency department (ED) visits is an important issue, and it is compounded by factors such as the long distance to secondary care facilities, funding difficulties in many rural medical institutions, and shortage of medical staff. While better patient experience (PX) has been shown to reduce hospitalizations and ED visits, previous studies have not considered the differences between urban and rural areas. In addressing this gap, this study examines the association between PX and hospitalizations/ED visits on isolated islands. Read More

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December 2018

Treatment strategies after acute exacerbations of chronic obstructive pulmonary disease: Impact on mortality.

PLoS One 2018 14;13(12):e0208847. Epub 2018 Dec 14.

Group of Translational Research in Respiratory Medicine, Hospital Universitari Arnau de Vilanova de Lleida,IRBLleida, Universitat de Lleida, Lleida, Catalonia, Spain.

Introduction: Acute exacerbation of chronic obstructive pulmonary disease (AECOPD) is a common reason for presentation to emergency departments (ED), but the management of these episodes is often heterogeneous regardless of their potential impact on short-term adverse outcomes.

Methods: This was a longitudinal, retrospective study of all patients >40 years old admitted to the ED of two Spanish teaching hospitals for an AECOPD between January 1st and May 31st, 2016. All data were collected from electronic medical records. Read More

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December 2018

Impact of a patient-flow physician coordinator on waiting times and length of stay in an emergency department: A before-after cohort study.

PLoS One 2018 14;13(12):e0209035. Epub 2018 Dec 14.

Division of Emergency Medicine, Department of Community, Primary Care and Emergency Medicine, Geneva University Hospitals and School of Medicine, Geneva, Switzerland.

Objective: Overcrowding is common in most emergency departments (ED). Despite the use of validated triage systems, some patients are at risk of delayed medical evaluation. The objective of this study was to assess the impact of a patient-flow physician coordinator (PFPC) on the proportion of patients offered medical evaluation within time limits imposed by the Swiss Emergency Triage Scale (SETS) and on patient flow within the emergency department of a teaching urban hospital. Read More

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December 2018

Topical tranexamic acid for spontaneous epistaxis.

Medwave 2018 Dec 10;18(8):e7372. Epub 2018 Dec 10.

Proyecto Epistemonikos, Santiago, Chile; Departamento de Otorrinolaringología, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile. Email: Address: Centro Evidencia UC, Pontificia Universidad Católica de Chile, Diagonal Paraguay 476, Santiago, Chile.

Introduction: Spontaneous epistaxis is one of the most frequent problems in emergency services. New treatment alternatives have emerged, including topical tranexamic acid. However, there is controversy about the actual efficacy of this alternative. Read More

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December 2018

Procalcitonin and other markers to guide antibiotic use in chronic obstructive pulmonary disease exacerbations in the era of antimicrobial resistance.

Curr Opin Pulm Med 2018 Dec 12. Epub 2018 Dec 12.

Department of Pulmonary and Critical Care Medicine, Center for Respiratory Diseases, China-Japan Friendship Hospital National Clinical Research Center of Respiratory Diseases Capital Medical University.

Purpose Of Review: This review summarizes the latest discoveries regarding the use of clinical indicators and biomarkers to guide antibiotic use in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD), and it analyzes the advantages and disadvantages of various indicators and markers.

Recent Findings: For AECOPD patients admitted to emergency departments and medical wards, procalcitonin (PCT)-guided antibiotic therapy reduced antibiotic use without adverse outcomes. In contrast, for severe AECOPD patients admitted to ICUs, PCT-guided antibiotic therapy increased the overall mortality in a 3-month follow-up period, and antibiotic use was not decreased. Read More

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December 2018
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Exploring the Delivery of Healthcare in the Police Detention Center Through Remote Presence Technology.

J Forensic Nurs 2018 Dec 13. Epub 2018 Dec 13.

Office of the Vice-President Research, University of Saskatchewan.

Introduction: There is overwhelming evidence to support the delivery of high-quality health service at a lower cost with the use of advanced technologies. Implementing remote presence technology to expand clinical care has been fraught with barriers that limit interprofessional collaboration and optimal client outcomes. In Canada, government ministries responsible for correctional services, policing, and health are well positioned to link federal, provincial, and regional services to enhance service delivery at the point of care for individuals detained within the justice system. Read More

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December 2018
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A Case Report Describing the Use of Point of Care Ultrasound to Guide Successful Cardiopulmonary Resuscitation After Unanticipated Arrest in Ambulatory Surgery.

A A Pract 2018 Dec 13. Epub 2018 Dec 13.

From the Department of Anesthesia, Grady Memorial Hospital, Emory University School of Medicine, Atlanta, Georgia.

We present a case of a 41-year-old man who suffered cardiac arrest after induction of general anesthesia for an ambulatory ophthalmologic procedure. In this report, we highlight the use of focused transthoracic echocardiography by the anesthesia team to guide a prolonged resuscitation. Emergency room and critical care physicians have described the use of focused echocardiography to aid in diagnosing correctible causes of cardiac arrest, predicting outcomes, and in decision making regarding termination of resuscitation. Read More

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December 2018

Succinylcholine and Dantrolene: Inseparable in the Emergency Cupboard?

Authors:
Philip M Hopkins

Anesthesiology 2019 Jan;130(1):6-8

From the Malignant Hyperthermia Unit, St. James's University Hospital, Leeds, United Kingdom; and the Institute of Medical Research at St. James's, University of Leeds, Leeds, United Kingdom.

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January 2019

Ruptured Extensor Pollicis Longus Tendon After a Nondisplaced Distal Radius Fracture in a Young Adult Soccer Player.

Clin J Sport Med 2018 Dec 13. Epub 2018 Dec 13.

HealthONE Family Medicine Residency, Lone Tree, Colorado.

Forearm fractures of the distal radius are one of the most common fractures seen in the upper extremity, and they represent approximately 1/6 of fractures treated in the emergency department. Forearm fractures are associated with a rare but known complication of a delayed ruptured extensor pollicis longus (EPL) tendon. This sequela is more commonly seen in adults after a nondisplaced distal radius fracture, with much variability in the incidence ranging from 0. Read More

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December 2018

Factors Associated With Long-Term Outcomes After Injury: Results of the Functional Outcomes and Recovery After Trauma Emergencies (FORTE) Multicenter Cohort Study.

Ann Surg 2018 Dec 13. Epub 2018 Dec 13.

Department of Surgery, Division of Trauma, Burn and Surgical Critical Care, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.

Objective: The aim of this study was to determine factors associated with patient-reported outcomes, 6 to 12 months after moderate to severe injury.

Summary Of Background Data: Due to limitations of trauma registries, we have an incomplete understanding of factors that impact long-term patient-reported outcomes after injury. As 96% of patients survive their injuries, several entities including the National Academies of Science, Engineering and Medicine have called for a mechanism to routinely follow trauma patients and determine factors associated with survival, patient-reported outcomes, and reintegration into society after trauma. Read More

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December 2018

[A case of magnetic pharyngeal foreign body in children].

Authors:
X R Zhang Q Li

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Sep;32(18):1432-1433

Ingestion of magnetic foreign bodies is an increasing problem in the pediatric emergency in recent years.The majority of these injuries are ingestions involving the gastrointestinal tract, stomach, esophagus etc.Ingestion of multiple magnets has a high risk of bowel injury such as perforation or fistula. Read More

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September 2018

Pneumonia Risk in Urgently Intubated Burn Patients.

Isr Med Assoc J 2018 Dec;20(12):737-740

Department of Plastic and Reconstructive Surgery, Rambam Health Care Campus, affiliated with Technion-Israel Institute of Technology, Haifa, Israel.

Background: Pneumonia is a major cause of morbidity and mortality in burn patients with inhalation injuries. An increased risk of pneumonia has been demonstrated in trauma and burn patients urgently intubated in the field vs. emergency departments (EDs). Read More

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December 2018

[Leucocyte esterase as a reliable diagnostic, cost-effective and fast in knee infections].

Acta Ortop Mex 2018 Jul-Aug;32(4):198-202

Dirección de Educación e Investigación en Salud, Hospital de Traumatología. Unidad Médica de Alta Especialidad (UMAE). «Dr. Victorio de la Fuente Narváez», Instituto Mexicano del Seguro Social (IMSS). Ciudad de México. México.

Background: The articular infection represents a challenge due to its complexity and its devastating effect when not treated promptly. We have various diagnostic studies: cultures, ESR, CRP, count of leukocytes, among others but none is specific, it takes more than 30 minutes to complete and require complex infrastructure. In this study we determine the sensitivity and specificity of the leukocyte esterase for detection of an infectious process joint in Mexican population. Read More

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December 2018

Ambulatory Care Sensitive Admissions in Individuals With Autism Spectrum Disorder, Intellectual Disability, and Population Controls.

Autism Res 2018 Dec 14. Epub 2018 Dec 14.

Department of Pediatrics, Medical University of South Carolina, Charleston, SC, USA.

Ambulatory care sensitive (ACS) admissions are those for which effective primary care can prevent the need for emergency department (ED) visits and inpatient hospitalizations, and are an indicator of primary care access. Individuals with autism spectrum disorder (ASD) and/or intellectual disability (ID) may be at higher risk for ACS admissions than individuals in the general population due to difficulty accessing primary care. The objective of this study was to compare the incidence of ACS admissions among four cohorts of individuals aged 2-24 years: ASD without co-occurring ID (ASD-only), ASD with co-occurring ID (ASD + ID), ID without ASD (ID-only), and population controls (PC). Read More

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December 2018

An update on the management and outcomes of cancer patients with severe aortic stenosis.

Catheter Cardiovasc Interv 2018 Dec 14. Epub 2018 Dec 14.

Department of Cardiology, The University of Texas MD Anderson Cancer Center, Houston, Texas.

Objectives: We compared the outcomes of aortic valve replacement (AVR) by transcatheter (TAVR) and surgical (SAVR) routes with those of optimal medical management in patients with cancer and severe aortic stenosis (AS).

Background: Cancer therapy requires optimal cardiac output; however, the treatment of AS in cancer patients is not established.

Methods: Cancer patients with severe AS during January 2009 through February 2018 at a large cancer center were identified. Read More

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December 2018

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

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

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

Diversity among residents in particular, and among the emergency medicine workforce in general, is a goal of both specialty societies and accrediting agencies. The proportion of medical students and residents who self-identify as female has increased over the last few decades, but the proportion who are racial and ethnic minorities remains low. The percentage of emergency physicians and emergency medicine residents who are women and minorities are known to be lower than that of the general population. Read More

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December 2018

Mandated wrapping of airway cart instruments: Limited access without the intended safety benefits.

Laryngoscope 2018 Dec 13. Epub 2018 Dec 13.

Greenville Voice Center, Greenville ENT Associates, Greenville Health System, Greenville, South Carolina, U.S.A.

Objectives/hypothesis: Isolated case studies have shown improper sterilization or contamination of equipment from anesthesia carts can lead to transmission of disease and even death. Citing this literature, national accrediting agencies mandated all instruments in the otolaryngology airway carts at San Antonio Military Medical Center be packaged to prevent contamination. This study sought to determine the infection and safety implications of packaged airway cart instruments. Read More

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December 2018

Ornithine aminotransferase promoted the proliferation and metastasis of non-small cell lung cancer via upregulation of miR-21.

J Cell Physiol 2018 Dec 13. Epub 2018 Dec 13.

Department of Respiratory Medicine, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.

The incidence and mortality of lung cancer ranked the first among all types of cancer in China, and non-small cell lung cancer (NSCLC) is the most common type of lung cancer accounting for 85% of all lung cancers. Given that the survival rate of patients with advanced NSCLC is still poor nowadays, identification of novel therapeutic targets and the development of effective therapies are desired for the treatment of NSCLC in clinics. In this study, we reported the upregulation of ornithine aminotransferase (OAT) in NSCLC cells and clinical tumor samples as well as its association with the advanced TNM stage, metastasis, and poor tumor differentiation of lung cancer. Read More

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December 2018

Human factors and the 'next generation' airway trolley.

Anaesthesia 2018 Dec 14. Epub 2018 Dec 14.

Department of Anaesthesia, The Children's Hospital at Westmead, Westmead, NSW, Australia.

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December 2018

Study Enrollment when "Pre-Consent" is Utilized for a Randomized 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 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 cannot be conducted under Waiver of Consent (46 CFR 45. Read More

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December 2018

The relationship between physical fitness and occupational injury in emergency responders: A systematic review.

Am J Ind Med 2019 Jan 12;62(1):3-13. Epub 2018 Dec 12.

School of Public Health, University of Alberta, Edmonton, Alberta, Canada.

Background: Emergency responders have jobs with physical demands that put them at risk of musculoskeletal injuries.

Objectives: This paper systematically reviews existing literature examining the relationship between fitness and occupational injury in this group.

Methods: Comprehensive electronic searches were conducted using key words relating to musculoskeletal injury, fitness, and emergency responders. Read More

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January 2019

Dissemination of the CAPABLE Model of Care in a Medicaid Waiver Program to Improve Physical Function.

J Am Geriatr Soc 2018 Dec 13. Epub 2018 Dec 13.

School of Nursing, Johns Hopkins University, Baltimore, Maryland.

Background/objectives: Of older adults, 42% report problems with daily function, and physical function is the most important consideration for aging individuals. Thus, we implemented a model of care focused on improving physical function and examined health and use outcomes and satisfaction.

Design: A 3-year participatory, single-group pretrial/posttrial benchmarked to a usual care cohort that was evaluated prior to the study. Read More

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December 2018

Downregulated microRNA-330 suppresses left ventricular remodeling via the TGF-β1/Smad3 signaling pathway by targeting SRY in mice with myocardial ischemia-reperfusion injury.

J Cell Physiol 2018 Dec 12. Epub 2018 Dec 12.

Department of Cardiology, Hunan Provincial People's Hospital (The First Affiliated Hospital of Hunan Normal University), Changsha, China.

microRNAs (miRs) are essential in the development of heart failure. The aim of this study is to investigate the effect of microRNA-330 (miR-330) on left ventricular remodeling via the TGF-β1/Smad3 signaling pathway by targeting the sex-determining region Y (SRY) in mice with myocardial ischemia-reperfusion injury (MIRI). Differentially expressed gene (DEG) in myocardial ischemia-reperfusion (IR) was screened out and the miR that targeted the DEG was also predicted and verified. Read More

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December 2018

Empirical measurement of pressure in NPWT for infected wounds: how long can it really stay under pressure?

Wound Repair Regen 2018 Dec 12. Epub 2018 Dec 12.

Emergency Surgery Department, Università Cattolica del Sacro Cuore, Fondazione Policlinico A. Gemelli, Rome.

Surgical site infections (SSIs) represent one of the most common surgical complications. Negative pressure wound therapy is considered an effective wound management system, based on the principle that a negative pressure inside the wound can suction fluids and approximate wound edges. With the negative pressure wound therapy systems commercially available it is assumed that the pressure inside the wound is stable at the set values. Read More

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December 2018

The role of the sapovirus infection increased in gastroenteritis after national immunisation was introduced.

Acta Paediatr 2018 Dec 12. Epub 2018 Dec 12.

Vaccine Research Center, University of Tampere, Tampere, Finland.

Aim: This study examined the prevalence and clinical significance of the sapovirus infection in children with acute gastroenteritis before and after the introduction of the rotavirus vaccination in Finland in 2009.

Methods: We collected 1,437 stool samples from children under 16 years during three prospective hospital-based surveillance studies of acute gastroenteritis at Tampere University Hospital, Finland. The children were seen in the emergency department (47%) or admitted to the ward (53%). Read More

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December 2018

Key performance indicators and administrative data in an early psychosis service.

Early Interv Psychiatry 2018 Dec 11. Epub 2018 Dec 11.

Rehabilitation Academic Clinical Unit, Metro South Addiction and Mental Health Service, Queensland, Australia.

Aim: This study aimed to introduce a set of administrative key performance indicators (KPIs) for Early Psychosis Services.

Methods: The study design was longitudinal with data retrieved from a 4-year period between January 2009 and December 2013 included in the study. Descriptive statistics and t tests were used to evaluate the KPIs. Read More

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December 2018

The Australian Trauma Registry.

ANZ J Surg 2018 Dec 11. Epub 2018 Dec 11.

Metro North Hospital and Health Service, Brisbane, Queensland, Australia.

Introduction: Injuries are a major cause of disability and lost productivity. The case for a national trauma registry has been recognized by the Australian Commission on Safety and Quality in Health Care and at a policy level.

Background: The need was flagged in 1993 by the Royal Australasian College of Surgeons and the Australasian Trauma Society. Read More

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December 2018

The use of whole blood in US military operations in Iraq, Syria, and Afghanistan since the introduction of low-titer Type O whole blood: feasibility, acceptability, challenges.

Transfusion 2018 Dec 11. Epub 2018 Dec 11.

Armed Service Blood Program, Brooke Army Medical Center, JBSA-Fort Sam Houston, Texas.

Background: Hemorrhage is the leading cause of preventable death in military and civilian traumatic injury. Blood product resuscitation improves survival. Low-titer Type O Whole Blood (LTOWB) was recently re-introduced to the combat theater as a universal resuscitation product for hemorrhagic shock. Read More

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December 2018

Seasonal variability is not observed in the rates of high anti-A and anti-B titers in plasma, apheresis platelet, and whole blood units tested by different methods.

Transfusion 2018 Dec 11. Epub 2018 Dec 11.

Department of Pathology and Laboratory Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire.

Background: ABO-incompatible platelet transfusions are common, and transfusions with ABO-incompatible plasma are increasing with the use of group A plasma and group O whole blood (WB) in emergencies. Many centers screen blood products for anti-A and/or anti-B titers to help prevent hemolysis from ABO-incompatible transfusions, yet titer methods and definition of high titers are not standardized.

Study Design And Methods: This international multicenter study collected data on anti-A and anti-B titer practices for plasma, apheresis platelet (AP), and WB units from January 2015 through December 2017 to determine the prevalence of high-titer units using local definitions. Read More

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December 2018

Point-of-care ultrasonography for diagnosing thoracoabdominal injuries in patients with blunt trauma.

Cochrane Database Syst Rev 2018 Dec 12;12:CD012669. Epub 2018 Dec 12.

Centre for Clinical Research, Department of Trauma and Orthopaedic Surgery, Unfallkrankenhaus Berlin, Berlin, Germany, 12683.

Background: Point-of-care sonography (POCS) has emerged as the screening modality of choice for suspected body trauma in many emergency departments worldwide. Its best known application is FAST (focused abdominal sonography for trauma). The technology is almost ubiquitously available, can be performed during resuscitation, and does not expose patients or staff to radiation. Read More

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December 2018

Periostin levels in children without respiratory disease.

Pediatr Pulmonol 2018 Dec 11. Epub 2018 Dec 11.

Case Western Reserve University School of Medicine, Cleveland, Ohio.

Background: Periostin is a protein that serves as a downstream marker of the T-helper type 2 (Th2) cell response. It may serve to identify drug-responsive inflammatory phenotypes, particularly in children with asthma and possibly bronchiolitis. There are no published levels of periostin in healthy children <2 years of age, limiting interpretation of periostin levels in disease. Read More

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December 2018

Point-of-care ultrasound better identifies the carotid sinus for massage to abort narrow complex tachyarrhythmia.

Authors:
Joseph Ting

Emerg Med Australas 2018 Dec 10. Epub 2018 Dec 10.

Emergency Department, Mater Hospital Brisbane, Brisbane, Queensland, Australia.

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December 2018

An evaluation of variation in pathology investigations and associated factors for adult patients presenting to emergency departments with chest pain: an observational study.

Int J Clin Pract 2018 Dec 10:e13305. Epub 2018 Dec 10.

Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie University, North Ryde NSW, 2109, Australia.

Objective: To determine variation in pathology test ordering practices and identify associated factors for adult patients presenting to emergency departments (ED) with chest pain and subsequently admitted with ischemic heart disease.

Methods: A retrospective study across six hospital EDs in New South Wales, Australia. A total of 6,769 patient presentations between January 2014 and December 2017 met the inclusion criteria. Read More

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December 2018

Review article: A primer for clinical researchers in the emergency department: Part VII. Considering a research higher degree in emergency medicine: How does it work, where to start, what to consider.

Emerg Med Australas 2018 Dec 11. Epub 2018 Dec 11.

Paediatric Research in Emergency Departments International Collaborative (PREDICT), Melbourne, Victoria, Australia.

In this series we address important topics for clinicians who participate in research or are considering research as part of their career path in emergency medicine. While much emergency research is successfully done by clinicians without a research higher degree (RHD), undertaking a master's degree or doctorate allows a research topic to be pursued in greater depth. It also provides a solid basis for a future research career in terms of research quality, advanced skills, academic progression and track record, as well as eligibility for grants and RHD supervision. Read More

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December 2018

Epidemiology of Facial Fractures among Older Adults: A Retrospective Analysis of a Nationwide Emergency Department Database.

Dent Traumatol 2018 Dec 8. Epub 2018 Dec 8.

Department of Orthodontics, The University of Illinois in Chicago, Chicago, Illinois.

Background/aims: The prevalence of facial fractures among older adults has increased in recent years, and nationwide studies about the epidemiological profile and outcomes of hospital-based ED visits for facial fractures among older adults are scarce. The aim of this study was to provide USA-wide data of hospital-based Emergency Department (ED) visits for facial fractures among older adults, and to investigate the outcomes associated with these visits.

Material And Methods: The Nationwide Emergency Department Sample (NEDS) for the years 2008 to 2014 was used for the present study. Read More

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December 2018

Factors affecting non-operative management of uncomplicated appendicitis in children: Should laparoscopic appendectomy be immediate, interval, or emergency?

Asian J Endosc Surg 2018 Dec 11. Epub 2018 Dec 11.

Department of Pediatric General and Urogenital Surgery, Juntendo University School of Medicine, Tokyo, Japan.

Introduction: We conducted a prospective non-randomized comparison of children with uncomplicated appendicitis treated either by primary laparoscopic appendectomy (PLA) or by non-operative management (NOM) followed by interval laparoscopic appendectomy (ILA) if NOM was successful or emergency laparoscopic appendectomy (ELA) if NOM was unsuccessful.

Methods: Before 2015, all patients with uncomplicated appendicitis underwent PLA using a standard three-port technique. Postoperatively, piperacillin/tazobactam was administered until the white blood cell count was less than 10 000/μL and patients were afebrile. Read More

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December 2018

New therapeutic strategy of hinokitiol in haemorrhagic shock-induced liver injury.

J Cell Mol Med 2018 Dec 8. Epub 2018 Dec 8.

Division of General Surgery, Department of Surgery, Taipei Medical University Hospital, Taipei, Taiwan.

Haemorrhagic shock and resuscitation (HS/R) may cause global ischaemia-reperfusion injury, which can result in systemic inflammation, multiorgan failure (particularly liver failure) and high mortality. Hinokitiol, a bioactive tropolone-related compound, exhibits antiplatelet and anti-inflammatory activities. Targeting inflammatory responses is a potential strategy for ameliorating hepatic injury during HS/R. Read More

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December 2018
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Chikungunya Virus: History, Geographic Distribution, Clinical Picture, and Treatment.

P R Health Sci J 2018 Dec;37(4):187-194

Third-year medical student, University of Puerto Rico Medical Sciences Campus, San Juan, PR.

Chikungunya fever (CHIKF) is a re-emerging mosquito-borne disease caused by a virus endemic to Africa and Asia. Due to the ease with which its vectors propagate, the virus has spread to India and Europe, and more recently it arrived to the Caribbean, eventually extending into North, Central, and South America. According to the World Health Organization (WHO), the most common clinical manifestations are abrupt fever, polyarthralgia, headache, maculopapular rash, myalgia, and nausea/vomiting. Read More

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December 2018

Administration of Subcutaneous Monoclonal Antibodies in Patients With Cancer.

Oncol Nurs Forum 2019 Jan;46(1):E38-E47

National Cancer Institute in Rio de Janeiro, Brazil.

Problem Identification: Subcutaneous (SC) formulations for monoclonal antibodies (mAbs) must be evaluated for efficacy and safety in comparison with preexisting IV formulations to identify potential benefits and risks.

Literature Search: This is a systematic review of clinical trials. MEDLINE®/PubMed, EMBASE, Cochrane Library, LILACS (Latin American and Caribbean Health Sciences Literature), and reference lists were searched for relevant studies. Read More

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January 2019

The SUMMIT ambulatory-ICU primary care model for medically and socially complex patients in an urban federally qualified health center: study design and rationale.

Addict Sci Clin Pract 2018 Dec 14;13(1):27. Epub 2018 Dec 14.

Division of General Internal Medicine and Geriatrics, Oregon Health and Science University, 3181 SW Sam Jackson Park Road L475, Portland, OR, 97239-3098, USA.

Background: Medically complex urban patients experiencing homelessness comprise a disproportionate number of high-cost, high-need patients. There are few studies of interventions to improve care for these populations; their social complexity makes them difficult to study and requires clinical and research collaboration. We present a protocol for a trial of the streamlined unified meaningfully managed interdisciplinary team (SUMMIT) team, an ambulatory ICU (A-ICU) intervention to improve utilization and patient experience that uses control populations to address limitations of prior research. Read More

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December 2018

Prognostic value of gasping for short and long outcomes during out-of-hospital cardiac arrest: an updated systematic review and meta-analysis.

Scand J Trauma Resusc Emerg Med 2018 Dec 14;26(1):106. Epub 2018 Dec 14.

Department of Emergency Medicine, Beijing Chao-Yang Hospital,Capital Medical University, 8# Worker's Stadium South Road, Chao-Yang District, Beijing, 100020, China.

Objective: We systematically reviewed the literature to investigate whether gasping could predict short and long outcomes in patients with out of hospital cardiac arrest (OHCA).

Methods: PubMed, Embase, and Cochrane Library were searched for observational studies regarding the prognostic effect of gasping on short and long outcomes in adults with OHCA. The primary outcome was return of spontaneous circulation (ROSC). Read More

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December 2018