journal
MENU ▼
Read by QxMD icon Read
search

Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine

journal
https://www.readbyqxmd.com/read/29322585/scapular-fractures-in-the-pan-scan-era
#1
Cortlyn Brown, Karim Elmobdy, Ali S Raja, Robert M Rodriguez
BACKGROUND: Scapular fractures have been traditionally taught to be associated with significant injuries and major morbidity. As we demonstrated with sternal fracture, pulmonary contusion and rib fracture, increased chest CT utilization and head-to-pelvis CT (pan-scan) protocols in blunt trauma evaluation, however, may diagnose minor, clinically irrelevant scapular fractures, possibly rendering previous teachings obsolete. OBJECTIVES: To determine the 1) percentages of scapular fractures seen on chest CT only (SOCTO) versus seen on both CXR and CT and of isolated scapular fracture (scapular fracture without other thoracic injuries), 2) frequencies of associated thoracic injury with scapular fracture, and 3) proportion of patients admitted, mortality, hospital length of stay, and injury severity scores (ISS), comparing four patient groups: scapular fracture, non-scapular fracture, scapular fracture SOCTO, and isolated scapular fracture...
January 11, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29315969/effectiveness-of-interventions-to-decrease-image-ordering-for-low-back-pain-presentations-in-the-emergency-department-a-systematic-review
#2
Chaocheng Liu, Shashwat Desai, Lynette D Krebs, Scott W Kirkland, Diana Keto-Lambert, Brian H Rowe
BACKGROUND: Low back pain (LBP) is an extremely frequent reason for patients to present to an emergency department (ED). Despite evidence against the utility of imaging, simple and advanced imaging (i.e., computed tomography [CT], magnetic resonance imaging [MRI]) for patients with LBP has become increasingly frequent in the ED. The objective of this review was to identify and examine the effectiveness of interventions aimed at reducing image ordering in the ED for LBP patients. METHODS: A protocol was developed a priori, following the PRISMA guidelines, and registered with PROSPERO...
January 8, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29292588/dr-rodgers-last-lessons-reflections-after-the-death-of-a-mentor
#3
Josh Mugele, Katie E Pettit, Debra S Rusk, Joseph S Turner, Aloysius J Humbert
The Indiana University emergency medicine family is grieving. We, the residency program directors, are grieving. The Monday morning before Thanksgiving, Dr. Kevin Rodgers, KRodge, a lifelong educator and mentor to most of us, was killed in his home following his overnight shift. Kevin's death has shaken us deeply and we are tired from crying. As emergency physicians, we're supposed to know about death - we see it regularly; we write about it in our literature; we comfort the families of our dying patients. But when it is one of our own - a father-figure - we don't know how to react...
January 2, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29292577/what-happens-next-recurrence-rates-for-first-unprovoked-seizures-in-children
#4
Wendi-Jo L Wendt, Louis T Dang, Alexander J Rogers
Seizures represent approximately 1% of all ED visits in the United States. 1 Unprovoked first seizures in children commonly present to the Emergency Department (ED), and even after the neurological exam normalizes, the prospect of recurrence can be a source of great anxiety for caregivers. 2 Compared to febrile seizures, unprovoked seizures carry a higher rate of recurrence and epilepsy. Previous studies focused on long term recurrence and the cumulative risk of a second seizure was 29%, 37%, 43%, and 46% at 1, 2, 5, and 10 years, respectively...
January 2, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29288555/the-focused-history-and-physical-circa-100-bce
#5
Katherine D van Schaik
When modern physicians reflect on 'ancient medicine' or 'Greek medicine,' they typically think of Hippocrates and Galen. Few know of the raging, centuries-long intellectual debates among physicians about what exactly mattered in the treatment of illness, or about a group of physicians whose pattern-based, systematized approach to health and disease was a forerunner of how today's emergency medicine physicians evaluate and treat their patients.Methodist physicians (c. 100 BCE to 500 CE, active mostly in Rome but present throughout the Mediterranean world) were named after their "method" of healing...
December 30, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29288554/development-of-a-patient-decision-aid-for-syncope-in-the-emergency-department-the-synda-tool
#6
Marc A Probst, Erik P Hess, Maggie Breslin, Dominick L Frosch, Benjamin C Sun, Marie-Noelle Langan, Lynne D Richardson
OBJECTIVES: To develop a patient decision aid to promote shared decision-making for stable, alert patients who present to the emergency department (ED) with syncope. METHODS: Using input from patients, clinicians, and experts in the field of syncope, health care design, and shared decision-making, we created a prototype of a paper-based decision aid to engage patients in the disposition decision (admission vs. discharge) after an unremarkable ED evaluation for syncope...
December 30, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29274187/sex-differences-in-diagnoses-treatment-and-outcomes-for-emergency-department-patients-with-chest-pain-and-elevated-cardiac-troponin
#7
Karin H Humphries, May K Lee, Mona Izadnegahdar, Min Gao, Daniel T Holmes, Frank X Scheuermeyer, Martha Mackay, Andre Mattman, Eric Grafstein
OBJECTIVE: While sex differences in the treatment and outcomes of subjects with acute coronary syndromes are well documented, little is known about the impact of cardiac troponin (cTn) levels obtained in the emergency department (ED) on the observed sex differences. We sought to determine whether cTn levels by chest pain features modify sex differences in diagnosis, treatment and outcomes in patients presenting with chest pain suggestive of ischemia. METHODS: All adults presenting to two hospitals in Vancouver, Canada between May 2008 and Mar 2013 with ischemic chest pain and with cTn testing were included in the study...
December 23, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29266577/ed-treatment-of-opioid-addiction-an-opportunity-to-lead
#8
Alister Martin, Andreas Mitchell
Opioid use disorder (OUD) is the fastest growing substance use disorder in the United States and the main reason for seeking addiction treatment services for illicit drug use throughout the world. The emergency department (ED) is an important point of care for patients with OUD as these patients are often marginalized from traditional primary care services. EDs often serve their primary healthcare needs as well as offering overdose reversal, attention to injuries related to substance use, and entry points into OUD treatment...
December 21, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29266523/material-needs-of-emergency-department-patients-a-systematic-review
#9
Patrick W Malecha, James H Williams, Nathan M Kunzler, Lewis R Goldfrank, Harrison J Alter, Kelly M Doran
BACKGROUND: Interest in social determinants of health (SDOH) has expanded in recent years, driven by a recognition that such factors may influence health outcomes, services use, and health care costs. One subset of SDOH is material needs such as housing and food. We conducted a systematic review of the literature on material needs among emergency department (ED) patients in the United States. METHODS: We followed PRISMA guidelines for systematic review methodology...
December 21, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29266617/protocolized-laboratory-screening-for-the-medical-clearance-of-psychiatric-patients-in-the-emergency-department-a-systematic-review
#10
Alyssa Conigliaro, Roshanak Benabbas, Eric Schnitzer, Maria-Pamela Janairo, Richard Sinert
OBJECTIVE: Emergency department (ED) patients with psychiatric chief complaints undergo medical screening to rule out underlying or comorbid medical illnesses prior to transfer to a psychiatric facility. This systematic review attempts to determine the clinical utility of protocolized laboratory screening for the streamlined medical clearance of ED psychiatric patients by determining the clinical significance of individual laboratory results. METHODS: We searched PUBMED, EMBASE and SCOPUS using the search terms "Emergency department, Psychiatry, Diagnostic tests, Laboratories, Studies, Testing, Screening, and Clearance" up to June 2017 for studies on adult psychiatric patients...
December 20, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29266537/opening-of-psychiatric-observation-unit-eases-boarding-crisis
#11
Bradford Tinloy, Arjun Venkatesh, Gail D'Onofrio, Matthew Goldenberg, Craig Rothenberg, Andrew Ulrich, Vivek Parwani
OBJECTIVES: The objective of this study was to evaluate the effect of a psychiatric observation unit in reducing ED boarding and length of stay for patients presenting with primary psychiatric chief complaints. A secondary outcome was to determine the effect of a psychiatric observation unit on inpatient psychiatric bed utilization. METHODS: Design and Setting: Before-and-after analysis conducted in a 1541-bed tertiary care academic medical center including an adult ED with annual census over 90,000 between February 2013 and July 2014...
December 20, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29265555/license
#12
Alexa H Gips
Sometimes, the ordinary patient strikes somewhere deep within you. She was, after all, no different from the hundreds of other drug users I've treated. Two and a half short years of residency, and already I'm numb to it. From shift to shift, we pass them off: sober re-eval, sober re-eval, sober re-eval. It's easy. This article is protected by copyright. All rights reserved.
December 19, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29265548/hack-s-impairment-index-response-to-comments
#13
Jason B Hack, Eric Goldlust, Dennis Ferrante, Brian Zink
The fact that alcohol intoxication is a tremendous problem with hundreds of thousands of patients presenting to EDs across the country with impairment as a chief complaint and no nationally recognized standard way of evaluating this state (or even language to formally describe their clinical status) emphasizes the importance of this paper. Although the paper describes the performance of Hack's Impairment Index (HII score) in the largest group of alcohol impaired ED patients ever formally assessed for degree of impairment and the first to include patients that ranged from unresponsive to unimpaired, the research was limited in several aspects by restrictions imposed by the hospital and IRB, and the nature of the study population, which all affected study design...
December 19, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29265543/primary-spontaneous-pneumothorax-looking-beyond-the-usual
#14
Nishant Gupta
Primary spontaneous pneumothorax (PSP) refers to a pneumothorax that occurs in patients without underlying pulmonary disease. Emergency physicians are often the first group of health care providers for patients presenting with a PSP. The currently recommended course of management for these patients involves conservative management either with observation (for small pneumothoraces) or simple aspiration/small bore chest tube placement (for larger/more symptomatic pneumothoraces). This article is protected by copyright...
December 19, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29265532/effectiveness-of-implementing-evidence-based-interventions-to-reduce-c-spine-image-ordering-in-the-emergency-department-a-systematic-review
#15
Shashwat Desai, Chaocheng Liu, Scott W Kirkland, Lynette D Krebs, Diana Keto-Lambert, Brian H Rowe
OBJECTIVES: Appropriate use of imaging for adult patients with cervical spine (C-spine) injuries in the emergency department (ED) is a longstanding issue. Guidance for C-spine ordering exists; however, the effectiveness of the decision support implementation in the ED is not well studied. This systematic review examines the implementation and effectiveness of evidence-based interventions aimed at reducing C-spine imaging in adults presenting to the ED with neck trauma. METHODS: Six electronic databases and the grey literature were searched...
December 19, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29265515/letter-to-the-editor-re-the-hack-index
#16
Karl Phillips, Paul McKenna, Jonathan de Olano, Robert S Hoffman
We read Hack et al's recent work with great interest.(1) While we applaud the effort to objectively quantify degree of impairment of intoxicated patients using the Hack Impairment Index (HII) in the emergency department, there are some notable limitations to this study which require further discussion.The HII score had a strong agreement with nurses' clinical assessments of intoxication. Despite the p value being impressive, their value for agreement was not indicated in the results. This article is protected by copyright...
December 19, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29265539/key-high-efficiency-practices-of-emergency-department-providers-a-mixed-methods-study
#17
Morgan R Bobb, Azeemuddin Ahmed, Paul Van Heukelom, Rachel Tranter, Karisa K Harland, Brady M Firth, Randy Fry, Katherine Schneider, Kathryn K Dierks, Sarah L Miller, Nicholas M Mohr
OBJECTIVE: The objective of this study was to determine specific provider practices associated with high provider efficiency in community emergency departments (EDs). METHODS: A mixed methods study design was utilized to identify key behaviors associated with efficiency: Stage 1. A convenience sample of sixteen participants (ED medical directors, nurses, advanced practice providers, and physicians) identified provider efficiency behaviors during semi-structured interviews...
December 18, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29265487/clinical-examination-for-acute-aortic-dissection-a-systematic-review-and-meta-analysis
#18
Robert Ohle, Hashim Khaliq Kareemi, George Wells, Jeffrey J Perry
INTRODUCTION: Acute aortic dissection is a life-threatening condition due to a tear in the aortic wall. It is difficult to diagnose and if missed carries a significant mortality. METHODS: We conducted a librarian assisted systematic review of Pubmed, Medline, Embase and the Cochrane database from 1968 to July 2016. Titles and abstracts were reviewed and data extracted by two independent reviewers (agreement measured by Kappa). Studies were combined if low clinical and statistical heterogeonity (I2 <30%)...
December 18, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29245179/hot-off-the-press-sgem-196-gastroparesis-i-feel-like-throwing-up
#19
Corey Heitz, Justin Morgenstern, William K Milne
This randomized controlled trial compared haloperidol along with conventional therapy to placebo along with conventional therapy for gastroparesis in the emergency department. The primary outcomes of pain and nausea scores at 1 hour were significantly improved in the haloperidol group, but not in the placebo group. In this summary, we discuss a quality assessment of the article and summarized the social media commentary from the blog post/podcast. This article is protected by copyright. All rights reserved.
December 15, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29223132/homelessness-and-emergency-medicine-a-review-of-the-literature
#20
Bisan A Salhi, Melissa H White, Stephen R Pitts, David W Wright
OBJECTIVES: We aimed to synthesize the available evidence on the demographics, prevalence, and clinical characteristics, and evidence-based management of homeless persons in the Emergency Department (ED). Where appropriate, we highlight knowledge gaps and suggest directions for future research. METHODS: We conducted a systematic literature search following databases: PubMed, Ovid, and Google Scholar for articles published between January 1, 1990 and December 31, 2016...
December 9, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
journal
journal
20001
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"