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MedWorm: Emergency Medicine



MedWorm.com provides a medical RSS filtering service. Over 7000 RSS medical sources are combined and output via different filters. This feed contains the latest news and research in Emergency Medicine



Last Build Date: Mon, 28 Mar 2016 15:44:10 +0100

 



AMR Begins Operations in Washington, D.C.

Mon, 28 Mar 2016 13:12:00 +0100

WASHINGTON (ABC7) — The D.C. Fire and Emergency Medical Services Department (DCFEMS) rolled out third party ambulances to transport patients with minor injuries or illnesses on Monday, according to a release from the DCFEMS. According to the release, the DCFEMS will begin using the ambulances from American Medical Response (AMR). Over 20 ambulances will operate in Washington between the hours of 7 a.m. and 1 a.m. seven days a week. DCFEMS will respond and arrive first to 9-1-1 calls to determine the kind of medical attention needed, and if the person requires transportation to the hospital, according to officials. "D.C. Fire and EMS is still responding to 100 percent of all 9-1-1 calls," said Deputy Fire Chief Rafael Sa'adah. JEMS: AMR Selected to Operate Ambulances in Washi...

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Victims of Alabama Medical Helicopter Crash Identified

Mon, 28 Mar 2016 12:21:00 +0100

GOODMAN, Ala. (AP) — The Alabama Emergency Management Agency has identified the four people who were killed in a helicopter crash in southeast Alabama. Alabama EMA spokesman Greg Robinson said Sunday the victims who died in the crash were pilot Chad Hammond, flight nurse Stacey Cernadas, flight medic Jason Snipes and patient Zach Strickland. Robinson says the victims were aboard an ambulance helicopter that crashed around 12:17 a.m. Saturday in Goodman, Alabama. Robinson says the downed helicopter was found after 7 a.m. Coffee County EMA Deputy Director James Brown tells WSFA-TV that the aircraft crashed after responding to a wreck in which the patient had a broken leg and was unconscious. National Transportation Safety Board is investigating. EARLIER: GOODMAN, Ala. (AP) — The Al...



Karen Konarski-Hart Shows Backbone at American Chiropractic Association (Movers & Shakers)

Mon, 28 Mar 2016 05:00:00 +0100

Karen Konarski-Hart of Little Rock has been elected vice president of the American Chiropractic Association, the first woman and first Arkansan to hold that position. The American Chiropractic Association is the largest professional association in the world representing doctors of chiropractic. The ACA provides lobbying, public relations, professional and educational opportunities for doctors of chiropractic, funds research regarding chiropractic and health issues and offers leadership for the advancement of the profession. Konarski-Hart practices at the Konarski Chiropractic Clinic & Back Institute of Arkansas in Little Rock, which was founded in 1980. She earned her Bachelor of Science from the University of Michigan and her doctor of chiropractic degree from the National College of ...



History, Evolution, and Importance of Emergency Endovascular Treatment of Acute Ischemic Stroke

Sun, 27 Mar 2016 22:00:00 +0100

Abstract More than 800,000 people in North America suffer a stroke each year, with ischemic stroke making up the majority of these cases. The outcomes of ischemic stroke range from complete functional and cognitive recovery to severe disability and death; outcome is strongly associated with timely reperfusion treatment. Historically, ischemic stroke has been treated with intravenous thrombolytic agents with moderate success. However, five recently published positive trials have established the efficacy of endovascular treatment in acute ischemic stroke. In this review, we will discuss the history of stroke treatments moving from various intravenous thrombolytic drugs to intra-arterial thrombolysis, early mechanical thrombectomy devices, and finally modern endovascular devices. Ea...

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Early management in children with burns: Cooling, wound care and pain management

Sun, 27 Mar 2016 22:00:00 +0100

Each year approximately 240 children with burns are admitted to the three burn centers in the Netherlands which is 40% of all admissions [1]. Even in a relatively small country like the Netherlands, the first critical hours are often spent at the referring hospital, before transport to a specialized burn center. Adequate emergency management is crucial in all (burn) injuries. (Source: Burns : Journal of the International Society for Burn Injuries)



Potentially Avoidable Pediatric Interfacility Transfer is a Costly Burden for Rural Families: A Cohort Study

Sun, 27 Mar 2016 22:00:00 +0100

ConclusionsPotentially avoidable pediatric inter‐hospital transfer is common and is responsible for significant healthcare‐related costs. Future work should focus on improving selection of children who benefit from inter‐hospital transfer for high‐yield conditions, to reduce the costly and distressing burden that PAT places on rural patients and their families.This article is protected by copyright. All rights reserved. (Source: Academic Emergency Medicine)



Serum S100B as a surrogate biomarker in the diagnoses of burnout and depression in emergency medicine residents

Sun, 27 Mar 2016 22:00:00 +0100

ConclusionsS100B levels correlate with depression scores and emotional exhaustion in Burnout Syndrome. The findings suggest that S100B can be used as a marker to screen emergency medicine residents and detect individuals with high risk for depression and burnout syndrome.This article is protected by copyright. All rights reserved. (Source: Academic Emergency Medicine)



Ultrasound-guided supraclavicular central venous catheter tip positioning via the right subclavian vein using a microconvex probe.

Sun, 27 Mar 2016 20:40:01 +0100

CONCLUSIONS: Ultrasound-guided CVC tip confirmation following catheterization of the right subclavian vein via a right supraclavicular approach with a microconvex probe is feasible. PMID: 27012271 [PubMed - as supplied by publisher] (Source: The Journal of Vascular Access)



Psychosocial risks in Psychiatry and Anaesthesiology residents in a Portuguese General and University Hospital.

Sun, 27 Mar 2016 15:04:02 +0100

CONCLUSIONS: These results suggest that residents have a health risk which derives from the cognitive demands of their work and that it increases with the workload.  This implicates the need for occupational health measures to be taken to manage and reduce these psychological risks. PMID: 27015028 [PubMed - as supplied by publisher] (Source: Medicina del Lavoro)



Advance directives in intensive care: Health professional competences

Sat, 26 Mar 2016 23:00:00 +0100

Conclusions Although health professionals displayed poor knowledge of advance directives, they had a favorable attitude toward their usefulness. However, most did not know whether their patients had a living will, and some professionals even failed to respect such instructions despite knowledge of the existence of advance directives. Improvements in health professional education in this field are needed. (Source: Medicina Intensiva)



Epidemiology and Severity of Sports and Recreation Injuries Presenting to a Tertiary Adult Emergency Department.

Sat, 26 Mar 2016 22:28:02 +0100

CONCLUSIONS: The 7.6% admission rate is higher than previously reported, likely because the study institution is a tertiary referral center. ATV riding is associated with higher severity injuries that are more likely to require hospital admission. Most sports injuries that present to an emergency department, specifically isolated soft tissue injuries of the extremities, may be more efficiently treated in a non-emergent setting. PMID: 27014859 [PubMed - as supplied by publisher] (Source: The Physician and Sportsmedicine Online)



Profile of acute paediatric poisoning cases admitted in a tertiary care centre in North India - Aziz UBA, Aslami AN, Ali SM.

Sat, 26 Mar 2016 11:13:34 +0100

The present study was carried out to determine the profile and outcome of acute paediatric poisoning presented in paediatrics emergency department of Jawaharlal Nehru Medical College, AMU, Aligarh. A retrospective study was carried out on 102 cases of acut... (Source: SafetyLit)

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Emergency medicine for disaster rescue - Wang ZG, Zhang L, Zhao WJ.

Sat, 26 Mar 2016 11:13:34 +0100

The word "disaster" refers to a sudden environmental megaevolution which causes casualties, property loss and ecological damage. Disaster is defined by the WHO as an event that causes facility damage, human casualties, worsening conditions of health and sa... (Source: SafetyLit)



Impact of subtropical climate on frequency of ambulance use for trauma patients in a coastal area of China - Chen Y, Lai Y, Ke J, Chen Y, Xu Y, Ma Y, Yuan J, Liang T, Mai P, Lin C, Xie Y, Huang K.

Sat, 26 Mar 2016 11:13:34 +0100

PURPOSE To explore the impact of subtropical maritime monsoon climate on the frequency of ambulance use for trauma patients in a coastal region in China. Method Statistical analysis of data on ambulance use from the 120 Emergency Command Center in Shan... (Source: SafetyLit)



Socio-demographic study of poisoning cases at I.G.G.M.C. Nagpur - Raut PK, Tingne C, Gajbhiye SM, Dixit PG.

Sat, 26 Mar 2016 11:13:34 +0100

Acute poisoning is an important medical emergency and one of the causes of death. A thorough knowledge of the profile of the victim is essential for management and prevention of poisoning. The current study was conducted at a major Government Hospital in c... (Source: SafetyLit)



Spinal cord injury in Parkour sport (free running): a rare case report - Derakhshan N, Zarei MR, Malekmohammady Z, Rahimi-Movaghar V.

Sat, 26 Mar 2016 11:13:34 +0100

A 24-year-old male was transferred to the emergency department while being in the state of quadriplegia with a history of performing Parkour sport, which is also called double front flip. Neurological examination revealed that the patient's muscle power wa... (Source: SafetyLit)

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Worsening Cervical Epidural Hematoma After Tissue Plasminogen Activator Administration for Stroke Like Symptoms

Sat, 26 Mar 2016 08:25:25 +0100

Conclusion. To our knowledge, only three cases of cervical SEH with hemiparesis erroneously treated with tPA resulting in neurological decline because of the enlargement of an existing hematoma, including the current case, have been reported in the English literature. It is important for physicians, especially those who administer tPA treatment, to include cervical SEH in the differential diagnosis of stroke in patients presenting with sudden back pain followed by the onset of neurological deficits including hemiparesis. Level of Evidence: 5 (Source: Spine)



Pulmonary Embolism

Sat, 26 Mar 2016 07:44:23 +0100

Pulmonary embolism covers a wide spectrum of presentation from an asymptomatic individual to a life-threatening medical emergency. It is of paramount importance to appropriately risk stratify patients with pulmonary embolism, particularly with those who present without hypotension. Right ventricular dysfunction can evolve after a patient has received a diagnosis of pulmonary embolism, necessitating aggressive measures rather than simple anticoagulation. In this review, we discuss definition, risk stratification, pathogenesis, diagnostic approach, and management, with particular focus on massive pulmonary embolism. (Source: Critical Care Nursing Quarterly)



Massive Hemoptysis

Sat, 26 Mar 2016 07:44:23 +0100

Hemoptysis, or coughing of blood, oftentimes triggers anxiety and fear for patients. The etiology of hemoptysis will determine the clinical course, which includes watchful waiting or intensive care admission. Any amount of hemoptysis that compromises the patient's respiratory status is considered massive hemoptysis and should be considered a medical emergency. In this article, we review introduction, definition, bronchial circulation anatomy, etiology, and management of massive hemoptysis. (Source: Critical Care Nursing Quarterly)



Angola: Govt Plays Down Yellow Fever Crisis

Sat, 26 Mar 2016 06:46:13 +0100

[IRIN] Nairobi -Angola is facing a public health emergency. Its under-funded hospitals, inadequate at the best of times, have been overwhelmed by a series of disease outbreaks, and the government has been forced to turn to private business and well-wishers for help. (Source: AllAfrica News: Health and Medicine)



From Ebola to Zika: Lessons Learned from Reporting on Public Health Emergencies

Sat, 26 Mar 2016 06:14:39 +0100

University of Texas at Austin, Moody College of Communication. 03/04/2016This 48-minute presentation features a doctor, who is also a health journalist, who describes her work reporting on public health emergencies. Topics include the Ebola epidemic, Zika virus outbreak, and issues with understanding public health risk. (Video or Multimedia) (Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health)

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Many Kidney Transplant Patients Land in ER Within 2 Years

Sat, 26 Mar 2016 04:16:47 +0100

Findings show need to coordinate care after organ transplant, researcher says Source: HealthDay Related MedlinePlus Pages: Emergency Medical Services, Health Disparities, Kidney Transplantation (Source: MedlinePlus Health News)



Weekend Roundup: Between Engagement and Terror

Sat, 26 Mar 2016 02:39:56 +0100

This week we witnessed a world coming together and a world falling apart, a world between engagement and terror. For the first time in nearly 90 years, an American president visited Cuba, turning upside down the anti-Yanqui narrative that has been the raison d'être of one of the Western Hemisphere's most longest-lasting dictatorships. In Havana, President Barack Obama promised to work toward lifting the embargo on Cuba just as he has done in Iran, where the advance of reformists in last month's election has already demonstrated the fruits of that opening. In Brussels, it appears that some children of Muslim immigrants expressed their explosive alienation in terror attacks in the very city many of them grew up, which also happens to be the capital of Europe. As the French scholar Olivier ...



Tweet of the Week: The Young Man Who Survived Three Terrorist Attacks

Sat, 26 Mar 2016 02:35:01 +0100

(MedPage Today) -- Wounded American teen speaks about the Brussels attack (Source: MedPage Today Emergency Medicine)



Sternoclavicular joint septic arthritis with chest wall abscess in a healthy adult: a case report

Fri, 25 Mar 2016 23:00:00 +0100

Conclusions Septic arthritis of the sternoclavicular joint is an unusual infection, especially in otherwise healthy adults. Because it is associated with serious complications such as chest wall abscess, prompt diagnosis and appropriate treatment are required. (Source: Journal of Medical Case Reports)

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[Hyperglycemia assessment in the post-anesthesia care unit].

Fri, 25 Mar 2016 20:50:01 +0100

CONCLUSION: The prevalence of hyperglycemia was high in the PACU, and factors such as age, BMI, corticosteroids, blood pressure, and duration of surgery are strongly related to this complication. PMID: 27005828 [PubMed - as supplied by publisher] (Source: Revista Brasileira de Anestesiologia)



Dads Invent Simple Device To Prevent Hot Car Fatalities

Fri, 25 Mar 2016 20:24:59 +0100

As we head into warm-weather seasons, parents are reminded of the tragedies that occur each year when small children are accidentally left in hot cars. Two dads from Tampa, Florida have developed a product which they say will prevent hot car fatalities and give parents peace of mind. It's called Sense-A-Life -- an easy-to-use device that alerts parents if they've left their children in the car. Neighbors Jim Friedman, an electrical engineer, and Fadi Shamma, a pharmacist, came up with the idea for Sense-A-Life one day while their children were playing together. Shamma told The Huffington Post that Friedman was talking about some of the engineering side projects he likes to do outside of work. During the same conversation, the parents discussed the many stories they'd read about childr...



Health system makes cutting-edge telemedicine affordable

Fri, 25 Mar 2016 20:04:00 +0100

With the right kind of equipment, can a video conference between an ambulance and an on-call neurologist deliver the same stroke assessment results as at the bedside in the emergency room? The University of Virginia Health System, after over one year of research, is poised to find out. Previously, AMA Wire® brought you the theory behind the University of Virginia (UVA) Health System’s research efforts to bring telemedicine to the ambulance so they can improve care for patients who are experiencing a stroke. We recently caught up with the UVA team to find out that their telestroke model iTreat is now in action. Andrew M. Southerland, MD, a neurologist with UVA, and his team already have provided this advanced telemedicine service to patients. “We have enrolled seven patients thus f...

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Well: Seeking Painkillers in the Emergency Room

Fri, 25 Mar 2016 19:29:15 +0100

“Why wouldn’t I give patients a Percocet prescription? It makes their life easier and my life easier,” a colleague said to me recently. But that’s not the answer to the opioid epidemic. (Source: NYT)



Child Protection in Emergencies Coordination Handbook

Fri, 25 Mar 2016 16:15:26 +0100

Global Protection Cluster, Child Protection Working Group. 03/18/2016This 158-page handbook provides humanitarian actors with guidance on how to coordinate child protection responses in humanitarian contexts in order to ensure more predictable, accountable, and effective child protection responses in emergencies around the world. It is designed for situations where the international community is formally engaged with the humanitarian response and where the cluster system has been activated. It is primarily addressed to child protection coordination teams, which may include coordinators, co-leads, and information managers. (PDF) (Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health)



A retrospective review of 911 calls to a regional poison control center - Bosak A, Brooks DE, Welch S, Padilla-Jones A, Gerkin RD.

Fri, 25 Mar 2016 16:13:53 +0100

BACKGROUND: There is little data as to what extent national Emergency Medical Services (EMS; 911) utilize poison control centers (PCCs). A review of data from our PCC was done to better understand this relationship and to identify potential improvements in... (Source: SafetyLit)

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Misuse of prescribed pain medication in a military population: a self-reported survey to assess a correlation with age, deployment, combat illnesses, or injury? - Ramirez S, Bebarta VS, Varney SM, Ganem V, Zarzabal LA, Potter JS.

Fri, 25 Mar 2016 16:13:53 +0100

Opioid misuse is a growing epidemic among the civilian and military communities. Five hundred prospective, anonymous surveys were collected in the emergency department waiting room of a military tertiary care hospital over 3 weeks. Demographics, medical an... (Source: SafetyLit)



Lethal means access and assessment among suicidal emergency department patients - Betz ME, Miller M, Barber C, Beaty B, Miller I, Camargo CA, Boudreaux ED.

Fri, 25 Mar 2016 16:13:53 +0100

BACKGROUND: Reducing access to lethal means (especially firearms) might prevent suicide, but counseling of at-risk individuals about this strategy may not be routine. Among emergency department (ED) patients with suicidal ideation or attempts (SI/SA), we s... (Source: SafetyLit)



ER Docs Only Ask Half of Suicidal Patients About Guns, Study Shows

Fri, 25 Mar 2016 16:00:14 +0100

FRIDAY, March 25, 2016 -- Only half of suicidal patients in U.S. emergency departments (EDs) are asked if they have access to guns, a new study finds. National guidelines say doctors should ask suicidal patients about their access to guns or other... (Source: Drugs.com - Daily MedNews)



Illegal Immigrants Get Public Health Care, Despite Federal Policy

Fri, 25 Mar 2016 13:02:55 +0100

Although the Affordable Care Act provides no insurance for unauthorized immigrants, many large counties treat them anyway. Officials figure it is cheaper and safer to give basic health services than to treat the immigrants only in emergency rooms. (Source: WSJ.com: Health)



Nasal Spray Formulation of the Opioid Antagonist Naloxone Approved

Fri, 25 Mar 2016 12:44:15 +0100

* A nasal spray formulation (Narcan Nasal Spray) of the opioid antagonist naloxone has been approved. This formulation is intended to be easier for friends and family members of victims to administer than injectable formulations. * Friends and family must receive education regarding the administration of naloxone nasal spray and be told that emergency medical care is necessary even after the naloxone is administered. (Source: AJN)

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Approach to Headache in the ED and Inpatient SettingsApproach to Headache in the ED and Inpatient Settings

Fri, 25 Mar 2016 12:34:28 +0100

Headache, both acute and chronic, often brings patients to the emergency department, and the accurate diagnosis is not always obvious. How should headache in the ED be approached? Seminars in Neurology (Source: Medscape Today Headlines)



Impact of Burnout on Self-Reported Patient Care in the EDImpact of Burnout on Self-Reported Patient Care in the ED

Fri, 25 Mar 2016 12:34:28 +0100

This study examines the issue among emergency physicians. Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health (Source: Medscape Today Headlines)



Nigeria: NEMA Calls for Deployment of More Medical Personnel to IDP Camps

Fri, 25 Mar 2016 10:09:46 +0100

[This Day] The Director General of National Emergency Management Agency (NEMA), Muhammad Sani Sidi has called for deployment of more medical doctors and others health personnel to Internally Displaced Persons (IDP) Camps to improve their healthcare. (Source: AllAfrica News: Health and Medicine)



Nigeria: IDP Camps Lack Medical Personnel - NEMA

Fri, 25 Mar 2016 09:32:38 +0100

[Daily Trust] Internally Displaced Persons Camps in the North-east are experiencing shortage of medical personnel, the Director General, National Emergency Management Agency, Muhammad Sani-Sidi, disclosed this when he led a team of health policy specialists and clinicians on a needs assessment and strategy appraisal at IDPs camps in Maiduguri, Borno State. (Source: AllAfrica News: Health and Medicine)



Our love for the NHS lets junior doctors strike over reasonable reforms

Fri, 25 Mar 2016 09:23:38 +0100

The doctors’ response has been a series of strikes, and next month they will up their game with the first all-out strike in NHS history, refusing to treat emergency patients for two days. (Source: the Mail online | Health)

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Troubled Kids' Psychiatric Care Often Delayed by Insurance Rules

Fri, 25 Mar 2016 09:00:59 +0100

FRIDAY, March 25, 2016 -- Children with severe psychiatric problems often have lengthy waits before they're transferred from a hospital emergency department to a psychiatric hospital due to insurance companies' "prior authorization" requirements, a... (Source: Drugs.com - Daily MedNews)



Health Highlights: March 25, 2016

Fri, 25 Mar 2016 07:09:40 +0100

Here are some of the latest health and medical news developments, compiled by the editors of HealthDay: Comedian Garry Shandling Dies at 66 Comedian Garry Shandling died following a "medical emergency" in his Los Angeles home on Thursday. He was... (Source: Drugs.com - Daily MedNews)



Injuries in jumpers - are there any patterns?

Fri, 25 Mar 2016 06:50:02 +0100

Authors: Rocos B, Chesser TJ Abstract Suicide as a cause of death, affects every health system, and is a particular problem in heavily urbanised states and low and middle income countries (which account for 75% of suicide deaths). The World Health Organisation records that 800000 commit suicide each year, representing 1.4% of annual global deaths, and that suicide was the second leading cause of death in 15-29 year-olds across the world in 2012. In the United Kingdom, jumping from height accounts for 3%-5% of the 140000 suicide attempts annually is similar incidence to the rest of Europe. The Medline and EMBASE were interrogated for studies examining suicide caused by jumping from height. Manual screening of titles and abstracts was used to identify relevant works before data was e...



Patients Immobilized with a Long Spine Board Rarely Have Unstable Thoracolumbar Injuries.

Fri, 25 Mar 2016 05:35:03 +0100

Authors: Clemency BM, Bart JA, Malhotra A, Klun T, Campanella V, Lindstrom HA Abstract Most Emergency Medical Services (EMS) protocols require spine immobilization with both a cervical collar and long spine board for patients with suspected spine injuries. The goal of this research was to determine the prevalence of unstable thoracolumbar spine injuries among patients receiving prehospital spine immobilization: a 4-year retrospective review of adult subjects who received prehospital spine immobilization and were transported to a trauma center. Prehospital and hospital records were linked. Data was reviewed to determine if spine imaging was ordered, whether acute thoracolumbar fractures, dislocations, or subluxations were present. Thoracolumbar injuries were classified as unstable i...



Effective Use of Naloxone by Law Enforcement in Response to Multiple Opioid Overdoses.

Fri, 25 Mar 2016 05:35:03 +0100

CONCLUSION: This article presents case descriptions demonstrating the feasibility and safety of law enforcement naloxone programs. KEY WORDS: opioid; heroin; EMS; naloxone; overdose; substance abuse. PMID: 27002349 [PubMed - in process] (Source: Prehospital Emergency Care)

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Acute Alcohol Use and Injury Patterns in Young Adult Prehospital Patients.

Fri, 25 Mar 2016 05:35:03 +0100

The objective was to determine if acute alcohol consumption is associated with differences in injury pattern among young adult patients with traumatic injuries presenting to emergency medical services (EMS). A cross-sectional, retrospective review of prehospital patient care reports (PCRs) was conducted evaluating injured patients who presented to a collegiate EMS agency from January 1, 2011 to December 31, 2012. Included patients were age 18-24 y and sustained an injury within the previous 24 h. PCRs were reviewed independently by two abstractors to determine if the patient was documented to have acutely consumed alcohol proximate to his/her injury. Primary and secondary sites of regional body injury were recorded. Injury severity was recorded using the Revised Trauma Score (RTS). The as...



Is Bad Luck the Cause of Most Cancers in Nigeria?

Fri, 25 Mar 2016 02:39:28 +0100

This article was originally published by the University of Michigan Risk Science Center -- This feed and its contents are the property of The Huffington Post, and use is subject to our terms. It may be used for personal consumption, but may not be distributed on a website. (Source: Healthy Living - The Huffington Post)



Human pentastomiasis in Sub-Saharan Africa.

Fri, 25 Mar 2016 01:43:02 +0100

Authors: Vanhecke C, Le-Gall P, Le Breton M, Malvy D Abstract Pentastomiasis is a rare zoonotic infection but it is frequently observed in Africa and Asia. Most human infections are caused by members of the Armillifer armillatus species. They are responsible for visceral pentastomiasis in Western and Central Africa. Humans may be infected by eating infected undercooked snake meat or by direct contact with an infected reptile. An increasing number of infections are being reported in Congo, Nigeria, and Cameroon. Despite an occasionally high number of nymphs observed in human viscera, most infections are asymptomatic and often diagnosed by accident during surgery or autopsy. The clinical presentation of pentastomiasis is quite varied and depends on infected tissues. The liver, lungs,...



Trauma team leaders’ non-verbal communication: video registration during trauma team training

Fri, 25 Mar 2016 00:00:00 +0100

There is widespread consensus on the importance of safe and secure communication in healthcare, especially in trauma care where time is a limiting factor. Although non-verbal communication has an impact on com... (Source: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine)



Randomized controlled trial of multidisciplinary team stress and performance in immersive simulation for management of infant in shock: study protocol

Fri, 25 Mar 2016 00:00:00 +0100

Human error and system failures continue to play a substantial role in adverse outcomes in healthcare. Simulation improves management of patients in critical condition, especially if it is undertaken by a mult... (Source: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine)






ER Docs Only Ask Half of Suicidal Patients About Guns, Study Shows

Thu, 24 Mar 2016 23:00:00 +0100

Finding points to missed chances to intervene before it's too late, researcher says (Source: The Doctors Lounge - Psychiatry)



Pediatric Extracorporeal Membrane Oxygenation Transport by EC-145 With a Custom-Built Sled

Thu, 24 Mar 2016 23:00:00 +0100

This report is the first, to our knowledge, to describe the safe and successful transport of a pediatric ECMO patient in an EC-145 helicopter. (Source: Air Medical Journal)

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Emergent Bleeding in Patients Receiving Direct Oral Anticoagulants

Thu, 24 Mar 2016 23:00:00 +0100

Publication date: Available online 25 March 2016 Source:Air Medical Journal Author(s): Richard L. Summers, Sarah A. Sterling Direct oral anticoagulants (DOACs) offer clinical advantages over warfarin, such as minimal medication and food interactions and fixed dosing without the need for routine monitoring of coagulation status. As with all anticoagulants, bleeding, either spontaneous or provoked, is the most common complication. The long-term use of these drugs is increasing, and there is a crucial need for emergency medicine service professionals to understand the optimal management of associated bleeding. This review aims to describe the indications and pharmacokinetics of available DOACs; to discuss the risk of bleeding; to provide a treatment algorithm to manage DOAC-associated eme...



Cerebral Oxygenation and Acceleration in Pediatric and Neonatal Interfacility Transport

Thu, 24 Mar 2016 23:00:00 +0100

Conclusion Acceleration forces of pediatric and neonatal interfacility transport are small and comparable in magnitude. The relationship between rSO2 drop and patient positioning was not significant in this pilot study. (Source: Air Medical Journal)



Articles That May Change Your Practice: Video Laryngoscopy

Thu, 24 Mar 2016 23:00:00 +0100

Publication date: Available online 25 March 2016 Source:Air Medical Journal Author(s): Russell D. MacDonald (Source: Air Medical Journal)



Case Review: 17-Year-Old-Female With Respiratory Depression as a Result of Opioid Overdose

Thu, 24 Mar 2016 23:00:00 +0100

Publication date: March–April 2016 Source:Air Medical Journal, Volume 35, Issue 2 Author(s): Jon C. Inkrott (Source: Air Medical Journal)

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Introducing CAMTS EU

Thu, 24 Mar 2016 23:00:00 +0100

Publication date: March–April 2016 Source:Air Medical Journal, Volume 35, Issue 2 Author(s): Eileen Frazer (Source: Air Medical Journal)



A 56-Year-Old Man With an Asthma Exacerbation

Thu, 24 Mar 2016 23:00:00 +0100

Publication date: March–April 2016 Source:Air Medical Journal, Volume 35, Issue 2 Author(s): Peter V.R. Tilney (Source: Air Medical Journal)



Acute Respiratory Distress Syndrome and Lung Protection

Thu, 24 Mar 2016 23:00:00 +0100

Publication date: March–April 2016 Source:Air Medical Journal, Volume 35, Issue 2 Author(s): David J. Dries (Source: Air Medical Journal)



A Horse Is a Horse, of Course, of Course

Thu, 24 Mar 2016 23:00:00 +0100

Publication date: March–April 2016 Source:Air Medical Journal, Volume 35, Issue 2 Author(s): John R. Clark (Source: Air Medical Journal)



Articles That May Change Your Practice: Crew Resource Management

Thu, 24 Mar 2016 23:00:00 +0100

Publication date: March–April 2016 Source:Air Medical Journal, Volume 35, Issue 2 Author(s): Russell D. MacDonald (Source: Air Medical Journal)

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Interprofessional Flight Camp

Thu, 24 Mar 2016 23:00:00 +0100

Publication date: March–April 2016 Source:Air Medical Journal, Volume 35, Issue 2 Author(s): Celeste M. Alfes, Amanda S. Rowe The Dorothy Ebersbach Academic Center for Flight Nursing in Cleveland, OH, holds an annual flight camp designed for master's degree nursing students in the acute care nurse practitioner program, subspecializing in flight nursing at the Frances Payne Bolton School of Nursing at Case Western Reserve University. The weeklong interprofessional training is also open to any health care provider working in an acute care setting and focuses on critical care updates, trauma, and emergency care within the critical care transport environment. This year, 29 graduate nursing students enrolled in a master's degree program from Puerto Rico attended. Although the emergency de...



Pediatric Specialty Transport Teams Are Not Associated With Decreased 48-Hour Pediatric Intensive Care Unit Mortality: A Propensity Analysis of the VPS, LLC Database

Thu, 24 Mar 2016 23:00:00 +0100

Conclusion No significant difference in adjusted 48-hour PICU mortality for children transported by transport team type was discovered. (Source: Air Medical Journal)



LUCAS™2 in Danish Search and Rescue Helicopters

Thu, 24 Mar 2016 23:00:00 +0100

Conclusion The Danish SAR helicopters retrieved 33 drowned/hypothermic patients during the research period, and the LUCAS™2 was used in 11 of the patients requiring resuscitation. The LUCAS™2 was frequently used during other emergencies like sudden cardiac arrest. Cardiac emergencies were the predominant type of mission. LUCAS™2 is now considered mandatory on Danish SAR helicopters (Source: Air Medical Journal)

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High-Dose Ketamine Sedation of an Agitated Patient During Air Medical Transport

Thu, 24 Mar 2016 23:00:00 +0100

We report a case in which a high-dose ketamine infusion was used to sedate an agitated patient for air medical transport, avoiding the risks of general anesthesia and causing no exacerbation of psychiatric symptoms. (Source: Air Medical Journal)



Resuscitation of a Pediatric Drowning in Hypothermic Cardiac Arrest

Thu, 24 Mar 2016 23:00:00 +0100

We report a case of successful prolonged resuscitation of a pediatric patient in hypothermic cardiac arrest who showed severe metabolic derangements and went on to make a rapid and full neurologic recovery without the use of extracoproreal rewarming or mechanical cardiac support. Many ground and air medical emergency medical service programs have policies against interfacility transfer of patients in hypothermic cardiac arrest, calling into question the need to revise current protocols. (Source: Air Medical Journal)



A Challenging Penetrating Trauma Case

Thu, 24 Mar 2016 23:00:00 +0100

We present the prehospital management of a 23-year-old Australian Aboriginal man with an isolated knife stab wound to the posterior right chest. The lead author attended to the prehospital management of this young man during tenure as a registrar in retrieval medicine for CareFlight Medical Services (CMS) in North Queensland, Australia. The case is noteworthy because it involved a combination of a life-threatening injury with a superimposed iatrogenic injury. The case will be of interest to physicians and clinicians in prehospital medicine as well as those in low-volume emergency departments or facilities in which major trauma may present infrequently. (Source: Air Medical Journal)

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Erratum to “2015 Air Medical Transport Conference Abstracts”

Thu, 24 Mar 2016 23:00:00 +0100

Publication date: March–April 2016 Source:Air Medical Journal, Volume 35, Issue 2 (Source: Air Medical Journal)



Cost‐effectiveness of the Cardiac Component of the Focused Assessment of Sonography in Trauma Examination in Blunt Trauma

Thu, 24 Mar 2016 23:00:00 +0100

ConclusionsThe cFAST for blunt trauma is cost‐effective for hypotensive but not for normotensive patients. The ICER for hypotensive patients was more than 20 times higher than the ICER for normotensive patients. Our results suggest that performing the cFAST exam may not be an effective use of resources in normotensive blunt trauma patients. (Source: Academic Emergency Medicine)



In Reply

Thu, 24 Mar 2016 23:00:00 +0100

(Source: Academic Emergency Medicine)

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Women's perceptions of biases and barriers in their myocardial infarction triage experience

Thu, 24 Mar 2016 23:00:00 +0100

Conclusions Women with MI perceived multiple barriers to their prompt recognition and treatment. Evaluation of care delivery processes are needed to reduce barriers and facilitate the prompt and accurate treatment of women for MI. (Source: Heart and Lung: The Journal of Acute and Critical Care)



64-Year-Old-Woman With Chest Pressure and Shortness of Breath

Thu, 24 Mar 2016 23:00:00 +0100

A 64-year-old woman presented to the emergency department with progressive dyspnea and intermittent chest pressure of a few months' duration. The patient described orthopnea, paroxysmal nocturnal dyspnea, and a 4.5-kg weight gain. She did not have fevers, chills, sore throat, productive cough, palpitations, or syncope. (Source: Mayo Clinic Proceedings)



Epidemics: Neglected Emergencies?

Thu, 24 Mar 2016 21:14:59 +0100

Doctors Without Borders/Medecins Sans Frontieres. 11/25/2015This 24-page report looks at disease outbreaks in their totality, including but not limited to Ebola, to gain insight into where emergency medical organizations and others can improve responses and better understand what has worked and what hasn't. It discusses immunization: current preventative strategies and their limits; infectious diseases: still the main killer in Africa; and the challenge of responding to outbreaks, before and when the epidemic is declared. (PDF) (Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health)



Factors associated with the use of helicopter inter-facility transport of trauma patients to tertiary trauma centers within an organized rural trauma system - Stewart K, Garwe T, Bhandari N, Danford B, Albrecht R.

Thu, 24 Mar 2016 21:13:23 +0100

OBJECTIVE: A review of the literature yielded little information regarding factors associated with the decision to use ground (GEMS) or helicopter (HEMS) emergency medical services for trauma patients transferred inter-facility. Furthermore, studies evalua... (Source: SafetyLit)

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CDC Media Statement on World TB Day 2016

Thu, 24 Mar 2016 19:34:29 +0100

(function(){var src_url="https://spshared.5min.com/Scripts/PlayerSeed?playList=519608076&height=&width=100&sid=577&origin=undefined&videoGroupID=155847&relatedNumOfResults=100&responsive=true&ratio=wide&align=center&relatedMode=2&relatedBottomHeight=60&companionPos=&hasCompanion=false&autoStart=false&colorPallet=%23FFEB00&videoControlDisplayColor=%23191919&shuffle=0&isAP=1&pgType=cmsPlugin&pgTypeId=grabCodeLightbox&onVideoDataLoaded=HPTrack.Vid.DL&onTimeUpdate=HPTrack.Vid.TC";if (typeof(commercial_video) == "object") {src_url += "&siteSection="+commercial_video.site_and_category;if (commercial_video.package) {src_url += "&sponsorship="+commercial_video.package;}}var script = document.createElement("script");script.src = src_url;script.async = true;var placeholder = document.querySelecto...



Many Kidney Transplant Patients Land in ER Within 2 Years: Study

Thu, 24 Mar 2016 19:00:29 +0100

THURSDAY, March 24, 2016 -- More than half of kidney transplant recipients wind up in an emergency department within two years of their operation, a new study finds. The researchers looked at more than 10,500 kidney transplant patients in... (Source: Drugs.com - Daily MedNews)



Quality Care and Patient Safety in the Pediatric Emergency Department

Thu, 24 Mar 2016 18:43:29 +0100

This article reviews quality improvement frameworks and methodology and the use of evidence-based guidelines for pediatric emergency medicine. Top performance measures in pediatric emergency care are described, with examples of ongoing process and quality improvement work in our pediatric emergency department. (Source: Pediatric Clinics of North America)






BMA calls emergency meeting to discuss NHS pressures

Thu, 24 Mar 2016 17:15:29 +0100

Doctors union the British Medical Association (BMA) has called an emergency meeting to discuss the pressures facing the NHS Hide related content:  Show related content read more (Source: Management in Practice)

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Poland to ban prescription-free emergency contraception

Thu, 24 Mar 2016 16:07:13 +0100

WARSAW (Reuters) - Poland's ruling conservatives plan to reinstate a prescription requirement for "morning after" emergency contraceptive pills, a move critics say reflects Catholic Church pressure and may lead to unwanted pregnancies. (Source: Reuters: Health)



Hospice and ED Use in Cancer Patients With a Poor PrognosisHospice and ED Use in Cancer Patients With a Poor Prognosis

Thu, 24 Mar 2016 16:00:00 +0100

Does enrollment in hospice reduce emergency department visits? Journal of the American Geriatrics Society (Source: Medscape Today Headlines)



Suicidal Patients: ED Docs Miss Opportunities to InterveneSuicidal Patients: ED Docs Miss Opportunities to Intervene

Thu, 24 Mar 2016 15:53:43 +0100

Only about half of suicidal patients seen in the emergency department are asked about access to guns and other lethal means of ending their lives. Medscape Medical News (Source: Medscape Medical News Headlines)



American Academy of Emergency Medicine

Thu, 24 Mar 2016 15:34:36 +0100

(Source: The Journal of Emergency Medicine)



Instructions for Authors

Thu, 24 Mar 2016 15:34:36 +0100

(Source: The Journal of Emergency Medicine)



Partial Contents of Volume 50, Number 5

Thu, 24 Mar 2016 15:34:36 +0100

(Source: The Journal of Emergency Medicine)



Contents

Thu, 24 Mar 2016 15:34:36 +0100

(Source: The Journal of Emergency Medicine)

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Issue Highlights

Thu, 24 Mar 2016 15:34:36 +0100

(Source: The Journal of Emergency Medicine)



Editorial Board

Thu, 24 Mar 2016 15:34:36 +0100

(Source: The Journal of Emergency Medicine)



Trauma patient readmission: Why do they come back for more?

Thu, 24 Mar 2016 15:34:36 +0100

It is often said that “trauma is a chronic disease,” and as the Affordable Care Act begins to implement quality measurement variables including readmission rate, it is important to understand why patients return to the hospital. Furthermore, understanding the causes of return visits to the hospital by trauma patients may assist with improvements in discharge planning and overall care thereby decreasing the burden on the healthcare system. (Source: The Journal of Emergency Medicine)



Sex Versus Gender-Related Characteristics: Which Predicts Outcome After Acute Coronary Syndrome in the Young?

Thu, 24 Mar 2016 15:34:36 +0100

Ongoing studies to better understand what determines outcomes and risks for acute coronary syndrome (ACS) are essential to providing adequate preventative and acute care medicine. Additionally, understanding issues that predispose patients to poor outcomes can eventually translate to addressing these issues earlier thereby improving outcomes. One common variable analyzed in outcome studies is sex, specifically whether a patient is phenotypically male or female. However, gender and gender roles that are often culturally dependent can also impact various elements of healthcare, and examining outcomes through the lens of gender, as opposed to sex, may increase our understanding of the role of gender in healthcare outcomes. (Source: The Journal of Emergency Medicine)



Prevalence of Domestic Violence Among Trauma Patients

Thu, 24 Mar 2016 15:34:36 +0100

Domestic violence is a worldwide epidemic affecting all demographic groups. Because of this, additional knowledge of the rates and characteristics of domestic violence may help lead to more robust systems of detection and eventually prevention of such traumas. Understanding the demographic data behind domestic violence is a necessary first step to successfully address this global problem. (Source: The Journal of Emergency Medicine)

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The Effect of Cirrhosis on the Risk for Failure of Nonoperative Management of Blunt Liver Injuries

Thu, 24 Mar 2016 15:34:36 +0100

Nonoperative management is the standard of care for blunt liver injury in stable, nonperitoneal patients. While cirrhosis in trauma patients is associated with increased mortality, there is little data on the utility of nonoperative management of solid organ injury in cirrhotic patients. (Source: The Journal of Emergency Medicine)



The Use of an Institutional Pediatric Abdominal Trauma Protocol Improves Resource Use

Thu, 24 Mar 2016 15:34:36 +0100

The second leading preventable cause of death in pediatric trauma patients is blunt abdominal trauma. Abdominal CT (computed tomography) scans are utilized more prudently in children than adults due to suspected increased cancer risk. The authors developed and implemented a protocol for evaluation of blunt abdominal trauma in patients at a level I pediatric trauma center. (Source: The Journal of Emergency Medicine)



Geographic Distribution of Trauma Centers and Injury-related Mortality in the United States

Thu, 24 Mar 2016 15:34:36 +0100

Access to trauma systems varies across the United States. Outcomes for trauma-related injury at the patient level have been shown to be influenced by geographic factors. The systems-level impact of geospatial factors on injury outcomes has not yet been studied. (Source: The Journal of Emergency Medicine)



Association of Model for End-Stage Liver Disease Score and Mortality in Trauma Patients With Chronic Liver Disease

Thu, 24 Mar 2016 15:34:36 +0100

Cirrhosis and chronic liver disease (CLD) have been shown to have an association with worse outcomes in trauma patients, in what appears to be a dose-response relationship relative to severity of disease. However, thus far, no studies have been performed to assess the effect of dynamic changes in liver disease and functioning on outcomes in the ongoing care of trauma patients. (Source: The Journal of Emergency Medicine)



Trauma Centers with Higher Rates of Angiography Have a Lesser Incidence of Splenectomy in the Management of Blunt Splenic Injury

Thu, 24 Mar 2016 15:34:36 +0100

Angiography has become a valuable tool in management of blunt splenic injury (BSI) especially as the management paradigm has shifted from operative to nonoperative over the past 30 years. However, use of angiography has not been standardized, with protocols varying widely between institutions. This is especially illustrated when comparing single-center studies with large multi-center studies. (Source: The Journal of Emergency Medicine)

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