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

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https://www.readbyqxmd.com/read/27926799/2015-academic-emergency-medicine-consensus-conference-attendees
#1
(no author information available yet)
No abstract text is available yet for this article.
December 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27864915/identification-of-emergency-department-visits-in-medicare-administrative-claims-approaches-and-implications
#2
Arjun K Venkatesh, Hao Mei, Keith Kocher, Mike Granovsky, Ziad Obermeyer, Erica Spatz, Craig Rothenberg, Harlan Krumholz, Zhenqui Lin
OBJECTIVES: Administrative claims datasets are often used for emergency care research and policy investigations of healthcare resource utilization, acute care practices, and evaluation of quality improvement interventions. Despite the high profile of emergency department (ED) visits in analyses using administrative claims, little work has evaluated the degree to which existing definitions based on claims data accurately captures conventionally defined hospital-based ED services. We sought to construct an operational definition for ED visitation using a comprehensive Medicare dataset and to compare this definition to existing operational definitions used by researchers and policymakers...
November 19, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27864896/family-medical-history
#3
Laura J Bontempo
"Is there a family history?" As I stood there watching her cry from pain and fear, that question shattered my soul like a bullet entering a thorax. "Yes, there is a family history. A strong one." This article is protected by copyright. All rights reserved.
November 19, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27860044/faculty-mentoring-practices-in-academic-emergency-medicine
#4
Julie Welch, Stacy Sawtelle, David Cheng, Tony Perkins, Misha Ownbey, Emily MacNeill, Robert Hockberger, Daniel Rusyniak
BACKGROUND: Mentoring is considered a fundamental component of career success and satisfaction in academic medicine. However, there is no national standard for faculty mentoring in academic emergency medicine and a paucity of literature on the subject. OBJECTIVES: To conduct a descriptive study of faculty mentoring programs and practices in academic departments of emergency medicine. METHODS: An electronic survey instrument was sent to 135 department chairs of emergency medicine (EM) in the United States...
November 17, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27860022/shared-decision-making-with-vulnerable-populations-in-the-emergency-department
#5
Ana Castaneda-Guarderas, Jeffrey Glassberg, Corita R Grudzen, Ka Ming Ngai, Margaret E Samuels-Kalow, Erica Shelton, Stephen P Wall, Lynne D Richardson
The emergency department occupies a unique position within the health care system, serving as a safety net for vulnerable patients, regardless of their race, ethnicity, religion, country of origin, sexual orientation, socioeconomic status or medical diagnosis. Shared decision making (SDM) presents special challenges when used with vulnerable population groups. The differing circumstances, needs and perspectives of vulnerable groups invoke issues of provider bias, disrespect, judgmental attitudes and lack of cultural competence; as well as patient mistrust, and the consequences of their social and economic disenfranchisement...
November 17, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27859997/minimizing-attrition-for-multi-site-emergency-care-research
#6
Bret A Nicks, Manish N Shah, David H Adler, Aveh Bastani, Christopher W Baugh, Jeffrey M Caterino, Carol L Clark, Deborah B Diercks, Judd E Hollander, Susan E Malveau, Daniel K Nishijima, Kirk A Stiffler, Alan B Storrow, Scott T Wilber, Annick N Yagapen, Benjamin C Sun
Loss to follow-up of enrolled patients (aka attrition) is a major threat to study validity and power. Minimizing attrition can be challenging even under ideal research conditions, including the presence of adequate funding, experienced study personnel, and a refined research infrastructure. Emergency care research is shifting towards enrollment through multi-site networks, but there have been limited descriptions of approaches to minimize attrition for these multi-center emergency care studies. This concept paper describes a stepwise approach to minimize attrition, using a case example of a multi-site emergency department prospective cohort of over 3,000 patients that has achieved a 30-day direct phone follow-up attrition rate of < 3%...
November 17, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27859987/evolution-of-the-model-of-the-clinical-practice-of-emergency-medicine-1979-to-present
#7
Francis L Counselman, Michael S Beeson, Catherine A Marco, Susan K Adsit, Anne L Harvey, Julia N Keehbauch
The Model of the Clinical Practice of Emergency Medicine (The EM Model) is a three dimensional representation of the clinical practice of Emergency Medicine. It is a product of successful collaboration involving the American Board of Emergency Medicine (ABEM), the American College of Emergency Physicians (ACEP), the Society for Academic Emergency Medicine (SAEM), the Emergency Medicine Residents' Association (EMRA), the Council of Emergency Medicine Residency Directors (CORD), the Residency Review Committee for Emergency Medicine (RRC-EM) and the American Academy of Emergency Medicine (AAEM)...
November 17, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27859965/peruvian-economic-success-in-the-emergency-department-close-to-hell-no-place-for-heaven
#8
Ana Castaneda-Guarderas, Ariana S Malaga, German Malaga
The Peruvian story of 15 years of sustained economic growth is a commonly touted success story in a region known for economic uncertainty. Social statistics show that fewer people live below the poverty line, more have access to basic education, and fewer children experience the consequences of malnutrition.(1,2) Corporations are thriving across all sectors including the private healthcare industry, which would seem to be in line with the optimistic published social welfare figures. This article is protected by copyright...
November 17, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27862628/history-physical-exam-laboratory-testing-and-emergency-department-ultrasonography-for-the-diagnosis-of-acute-cholecystitis
#9
Ashika Jain, Ninfa Mehta, Michael Secko, Joshua Schecter, Dimitri Papanagnou, Shreya Pandya, Richard Sinert
BACKGROUND: Acute Cholecystitis (AC) is a common differential for patients presenting to the Emergency Department (ED) with abdominal pain. The diagnostic accuracy of history, physical exam and bedside lab tests for AC have not been quantitatively described. OBJECTIVES: We performed a systematic review to determine the utility of History/Physical exam (H&P), Laboratory studies and Ultrasonography (US) in diagnosing AC in the ED. METHODS: We searched medical literature from January 1965 to March 2016 in PubMed, EMBASE and SCOPUS using a strategy derived from the following formulation of our clinical question: Patients: ED patients suspected of AC...
November 15, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27862670/do-gender-and-race-make-a-difference-in-acute-coronary-syndrome-pretest-probabilities-in-the-emergency-department
#10
Paul I Musey, Jeffrey A Kline
STUDY OBJECTIVES: To test for significant differences in subjective and objective pretest probabilities for acute coronary syndrome (ACS) in a large cohort of chest pain patients stratified by race or gender. Secondarily we wanted to test for any differences in rates of ACS, rates of 90 day returns, cost, and chest radiation exposure after these stratifications. METHODS: This is a secondary analysis of a prospective outcomes study of ED patients with chest pain and shortness of breath...
November 12, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27862642/external-validation-of-the-pecarn-head-trauma-prediction-rules-in-japan
#11
Kentaro Ide, Satoko Uematsu, Kenichi Tetsuhara, Satoshi Yoshimura, Takahiro Kato, Tohru Kobayashi
OBJECTIVES: The Pediatric Emergency Care Applied Research Network (PECARN) head trauma prediction rules are used to assist computed tomography (CT) decision-making for children with minor head trauma. Although the PECARN rules have been validated in North America and Europe, they have not yet been validated in Asia. In Japan, there are no clinical decision rules for children with minor head trauma. The rate of head CT for children with minor head trauma in Japan is high since CT is widely accessible across the country...
November 12, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27859891/diagnostic-performance-of-wells-score-combined-with-point-of-care-lung-and-venous-ultrasound-in-suspected-pulmonary-embolism
#12
Peiman Nazerian, Giovanni Volpicelli, Chiara Gigli, Cecilia Becattini, Giuseppe Francesco Sferrazza Papa, Stefano Grifoni, Simone Vanni
OBJECTIVE: Lung and venous ultrasound are bedside diagnostic tools increasingly used in the early diagnostic approach of suspected pulmonary embolism (PE). However, the possibility of improving the conventional prediction rule for PE by integrating ultrasound has never been investigated. METHODS: We performed lung and venous ultrasound in consecutive patients suspected of PE in four emergency departments. Conventional Wells score (Ws) was adjudicated by the attending physician, and ultrasound was performed by one of 20 investigators...
November 12, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27801997/nonmydriatic-fundoscopic-imaging-using-the-pan-optic-iexaminer-system-in-the-pediatric-emergency-department
#13
Lindsay M Day, Serena X Wang, Craig J Huang
OBJECTIVES: The primary objective of this study was to determine the percentage of clinically adequate (CA) fundoscopic images that could be obtained using the Pan Optic iExaminer system to perform nonmydriatic fundoscopic imaging in the pediatric emergency department. Secondary objectives were to identify target age groups in which this technology is best utilized, and evaluate the overall ease of use in this setting. METHODS: Children 18 years of age or less who presented to the pediatric emergency department with a non-eye related chief complaint were enrolled and stratified by age group (0-2 years, 2-6 years and 6-18 years)...
November 1, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27801995/in-her-shoes
#14
Sarah Gaines
Emma Rose turned 5 yesterday. She is the definition of spunky, sass and spice. Gives her parents a run for the money every time she's asked to clean up her room, be good to her sister and put on a pair of shoes. Nothing is simple - she is just too fierce for that. And that passion presents a great challenge, and presents a great gift. This article is protected by copyright. All rights reserved.
November 1, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27801991/short-to-midterm-effectiveness-of-a-brief-motivational-intervention-to-reduce-alcohol-use-and-related-problems-for-alcohol-intoxicated-children-and-adolescents-in-pediatric-emergency-departments-a-randomized-controlled-trial
#15
Nicolas Arnaud, Silke Diestelkamp, Lutz Wartberg, Peter-Michael Sack, Anne Daubmann, Rainer Thomasius
OBJECTIVES: The proportion of children and adolescents receiving emergency care for acute alcohol intoxication (AAI) in Germany has sharply increased over the past years. Despite this, no randomized controlled trials (RCTs) have studied guideline- and evidence-based interventions to prevent future alcohol misuse within this population. The objective of our investigation was to evaluate the effectiveness of a brief motivational intervention (b-MI) to reduce drinking and associated problems within pediatric emergency departments (PED) in Hamburg, Germany...
November 1, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27797440/the-association-of-electrocardiographic-abnormalities-and-major-adverse-cardiac-events-in-emergency-patients-with-chest-pain
#16
Thomas Knowlman, Jaimi H Greenslade, William Parsonage, Tracey Hawkins, Lorcan Ruane, Paul Martin, Sandhir Prasad, Daniel Lancini, Louise Cullen
OBJECTIVES: The electrocardiograph (ECG) is an essential tool in initial management and risk stratification of patients with suspected acute coronary syndrome (ACS). A six-point reporting criterion has been proposed to facilitate standardized clinical assessment of patients presenting to the emergency department (ED) with suspected ACS. We set out to evaluate the efficacy of these criteria in identifying patients with major adverse cardiac events (MACE), Type 1 myocardial infarction (T1MI), Type 2 myocardial infarction (T2MI), and one-year mortality in a cohort of emergency patients with chest pain...
October 31, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27797437/screening-and-treatment-for-subclinical-hypertensive-heart-disease-in-emergency-department-patients-with-uncontrolled-blood-pressure-a-cost-effectiveness-analysis
#17
Michael J Twiner, Alexander L Marinica, Kenneth Kuper, Allen Goodman, James J Mahn, Michael J Burla, Aaron M Brody, Justin A Carroll, Robina Josiah Willock, John M Flack, Samar A Nasser, Phillip Levy
OBJECTIVES: Poorly controlled hypertension (HTN) is extremely prevalent and if left unchecked, subclinical hypertensive heart disease (SHHD) may ensue leading to conditions such as heart failure (HF). To address this, we designed a multidisciplinary program to detect and treat SHHD in a high-risk, predominantly African American community. The primary objective of this study was to determine the cost effectiveness of our program. METHODS: Study costs associated with identifying and treating patients with SHHD were calculated and a sensitivity analysis was performed comparing the effect of four parameters on cost estimates...
October 31, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27797435/the-transition-of-care-between-emergency-department-and-primary-care-a-scoping-study
#18
Clare L Atzema, Laura C Maclagan
OBJECTIVES: Patients with chronic diseases often have to seek emergency care for exacerbations. In the face of large predicted increases in the prevalence of chronic diseases, there is increased pressure to avoid hospitalizing these patients at the end of the ED visit, if they can obtain the care they need in the outpatient setting. We performed this scoping study to provide a broad overview of the published literature on the transition of care between ED and primary care following ED discharge...
October 31, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27797432/the-effect-of-frailty-on-30-day-mortality-risk-in-older-patients-with-acute-heart-failure-attended-in-the-emergency-department
#19
Francisco Javier Martín-Sánchez, Esther Rodríguez-Adrada, Christian Mueller, M T Vidán, Michael Christ, W Frank Peacock, Miguel Alberto Rizzi, Aitor Alquezar, Pascual Piñera, Paula Lázaro Aragues, Pere Llorens, Pablo Herrero, Javier Jacob, Cristina Fernández, Òscar Miró
OBJECTIVE: To determine the effect of frailty on risk of 30-day mortality in non-severely disabled older patients with acute heart failure (AHF) attended in emergency departments (EDs). METHODOLOGY: The Frailty-AHF Study is a retrospective analysis of a multicentre, observational, prospective, cohort study (Older-AHF Register). This study included consecutive patients ≥ 65 years of age without severe functional dependence or dementia attended for AHF in 3 Spanish EDs during 4 months...
October 31, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27792852/cognitive-rest-and-graduated-return-to-usual-activities-versus-usual-care-for-mild-traumatic-brain-injury-a-randomized-controlled-trial-of-emergency-department-discharge-instructions
#20
Catherine E Varner, Shelley McLeod, Negine Nahiddi, Rosamond E Lougheed, Taylor E Dear, Bjug Borgundvaag
INTRODUCTION: It is estimated 15-25% of patients with a mild traumatic brain injury (MTBI) diagnosed in the emergency department (ED) will develop post-concussive syndrome (PCS). The objective of this study was to determine if patients randomized to graduated return to usual activity discharge instructions had a decrease in their Post-Concussion Symptom Score (PCSS) 2 weeks after MTBI compared to patients who received usual care MTBI discharge instructions. METHODS: This was a pragmatic, randomized trial of adult (18-64 years) patients of an academic ED (annual census 60,000) diagnosed with MTBI occurring within 24 hours of ED visit...
October 28, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
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