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Annals of Emergency Medicine

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https://www.readbyqxmd.com/read/27913059/cha2ds2-vasc-scores-and-major-bleeding-in-patients-with-nonvalvular-atrial-fibrillation-who-are-receiving-rivaroxaban
#1
W Frank Peacock, Sally Tamayo, Manesh Patel, Nicholas Sicignano, Kathleen P Hopf, Zhong Yuan
STUDY OBJECTIVE: Assessing stroke risk associated with nonvalvular atrial fibrillation depends on the evaluation of patient characteristics and clinical features. Clinicians must determine that the net clinical benefit from anticoagulation therapy outweighs its risk, namely, bleeding. Risk assessment for stroke is commonly performed by calculating a CHA2DS2-VASc (congestive heart failure/left ventricular dysfunction, hypertension, ≥75 years, diabetes mellitus, previous stroke or transient ischemic attack or thromboembolism, vascular disease, aged 65 to 74 years, sex female) score...
November 29, 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/27889368/graph-quality-in-top-medical-journals
#2
Jennifer C Chen, Richelle J Cooper, Michael E McMullen, David L Schriger
STUDY OBJECTIVE: Well-designed graphs can portray complex data and relationships in ways that are easier to interpret and understand than text and tables. Previous investigations of reports of clinical research showed that graphs are underused and, when used, often depict summary statistics instead of the data distribution. This descriptive study aims to evaluate the quantity and quality of graphs in the current medical literature across a broad range of better journals. METHODS: We performed a cross-sectional survey of 10 randomly selected original research articles per journal from the 2012 issues of 20 highly cited journals...
November 23, 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/27889367/use-or-abuse-a-qualitative-study-of-emergency-physicians-views-on-use-of-observation-stays-at-three-hospitals-in-the-united-states-and-england
#3
Graham P Martin, Brad Wright, Azeemuddin Ahmed, Jay Banerjee, Suzanne Mason, Damian Roland
STUDY OBJECTIVE: Accumulating evidence has shown increasing use of observation stays for patients presenting to emergency departments and requiring diagnostic evaluation or time-limited treatment plans, but critics suggest that this expansion arises from hospitals' concerns to maximize revenue and shifts costs to patients. Perspectives of physicians making decisions to admit, observe, or discharge have been absent from the debate. We examine the views of emergency physicians in the United States and England on observation stays, and what influences their decisions to use observation services...
November 23, 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/27889366/intranasal-lidocaine-in-acute-treatment-of-migraine-a-randomized-controlled-trial
#4
Nazire Avcu, Nurettin Özgür Doğan, Murat Pekdemir, Elif Yaka, Serkan Yılmaz, Cansu Alyeşil, Latif Erdem Akalın
STUDY OBJECTIVE: The study aims to evaluate the efficacy and safety of intranasal lidocaine administration for migraine treatment. METHODS: This single-center, double-blind, randomized, controlled trial was conducted in a tertiary care emergency department. Included patients met the migraine criteria of the International Headache Society. Patients were randomized to intranasal lidocaine or saline solution; all participants received 10 mg of intravenous metoclopramide...
November 23, 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/27865531/meeting-our-patients-where-they-are
#5
EDITORIAL
Ricardo Martinez
No abstract text is available yet for this article.
November 16, 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/27856021/interdisciplinary-development-of-an-improved-emergency-department-procedural-work-surface-through-iterative-design-and-use-testing-in-simulated-and-clinical-environments
#6
Xiao C Zhang, Ana M Bermudez, Pranav M Reddy, Ravi R Sarpatwari, Darin B Chheng, Taylor J Mezoian, Victoria R Schwartz, Quinneil J Simmons, Gregory D Jay, Leo Kobayashi
STUDY OBJECTIVE: A stable and readily accessible work surface for bedside medical procedures represents a valuable tool for acute care providers. In emergency department (ED) settings, the design and implementation of traditional Mayo stands and related surface devices often limit their availability, portability, and usability, which can lead to suboptimal clinical practice conditions that may affect the safe and effective performance of medical procedures and delivery of patient care...
November 14, 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/27856020/the-effect-of-bedside-ultrasonographic-skin-marking-on-infant-lumbar-puncture-success-a%C3%A2-randomized-controlled-trial
#7
Jeffrey T Neal, Summer L Kaplan, Ashley L Woodford, Krisha Desai, Joseph J Zorc, Aaron E Chen
STUDY OBJECTIVE: Lumbar puncture is a commonly performed procedure, although previous studies have documented low rates of successful completion in infants. Ultrasonography can visualize the anatomic landmarks for lumbar puncture and has been shown in some studies to reduce the failure rate of lumbar puncture in adults. We seek to determine whether ultrasonography assisted site marking increases success for infant lumbar punctures. METHODS: This was a prospective, randomized, controlled trial in an academic pediatric emergency department (ED)...
November 14, 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/27856022/why-retail-clinics-do-not-substitute-for-emergency-department-visits-and-what-this-means-for-value-based-care
#8
EDITORIAL
Jesse M Pines
No abstract text is available yet for this article.
November 11, 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/27865532/tarp-assisted-cooling-as-a-method-of-whole-body-cooling-in-hyperthermic-individuals
#9
Yuri Hosokawa, William M Adams, Luke N Belval, Lesley W Vandermark, Douglas J Casa
STUDY OBJECTIVE: We investigated the efficacy of tarp-assisted cooling as a body cooling modality. METHODS: Participants exercised on a motorized treadmill in hot conditions (ambient temperature 39.5°C [103.1°F], SD 3.1°C [37.58°F]; relative humidity 38.1% [SD 6.7%]) until they reached exercise-induced hyperthermia. After exercise, participants were cooled with either partial immersion by the tarp-assisted cooling method (water temperature 9.20°C [48.56°F], SD 2...
November 4, 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/27856019/association-between-the-opening-of-retail-clinics-and-low-acuity-emergency-department-visits
#10
Grant Martsolf, Kathryn R Fingar, Rosanna Coffey, Ryan Kandrack, Tom Charland, Christine Eibner, Anne Elixhauser, Claudia Steiner, Ateev Mehrotra
STUDY OBJECTIVE: We assess whether the opening of retail clinics near emergency departments (ED) is associated with decreased ED utilization for low-acuity conditions. METHODS: We used data from the Healthcare Cost and Utilization Project State Emergency Department Databases for 2,053 EDs in 23 states from 2007 to 2012. We used Poisson regression models to examine the association between retail clinic penetration and the rate of ED visits for 11 low-acuity conditions...
November 4, 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/27823877/where-are-the-sick-kids
#11
Terrance McGovern, Katrina D'Amore
No abstract text is available yet for this article.
November 4, 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/27823876/optimal-volume-of-administration-of-intranasal-midazolam-in-children-a-randomized-clinical%C3%A2-trial
#12
Daniel S Tsze, Maria Ieni, Daniel B Fenster, John Babineau, Joshua Kriger, Bruce Levin, Peter S Dayan
STUDY OBJECTIVE: The optimal intranasal volume of administration for achieving timely and effective sedation in children is unclear. We aimed to compare clinical outcomes relevant to procedural sedation associated with using escalating volumes of administration to administer intranasal midazolam. METHODS: We conducted a randomized, single-blinded, 3-arm, superiority clinical trial. Children aged 1 to 7 years and undergoing laceration repair requiring 0.5 mg/kg intranasal midazolam (5 mg/mL) were block-randomized to receive midazolam using 1 of 3 volumes of administration: 0...
November 4, 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/27823875/do-%C3%AE-2-adrenergic-agonists-decrease-the-symptoms-associated-with-opioid-withdrawal
#13
EDITORIAL
Michael Gottlieb, Katarzyna Gore
No abstract text is available yet for this article.
November 4, 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/27823874/ipsilateral-plastic-deformation-monteggia-and-galeazzi-type-fracture-in-a-child-a-case-report
#14
Andrew Greer, Christopher John Lowry, Shammi Ramlakhan
A 7-year-old boy attended the emergency department after falling from a climbing frame onto his outstretched left wrist. On examination, there was mild swelling to the left elbow and tenderness to the antecubital fossa. There was also tenderness diffusely to the distal ulnar and radius. There was no neurovascular deficit. Radiographs revealed a plastic deformation fracture of the left radius and ulna, with dislocations of the ipsilateral radiocapitellar joint and distal radioulnar joint. A diagnosis of combined Monteggia and Galeazzi-type fractures of the left forearm was made...
November 4, 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/27823873/a-prospective-observational-study-of-patients-receiving-intravenous-and-intramuscular-olanzapine-in-the-emergency-department
#15
Jon B Cole, Johanna C Moore, Benjamin J Dolan, Alex O'Brien-Lambert, Brandon J Fryza, James R Miner, Marc L Martel
STUDY OBJECTIVE: Parenteral olanzapine is an emerging therapy for a variety of conditions in the emergency department (ED). Intramuscular administration is standard; however, intravenous administration has been proposed as a safe alternative route. We investigate the safety and efficacy of both intramuscular and intravenous olanzapine in the ED when used for a variety of indications. METHODS: This was a prospective observational study of patients presenting to an urban Level I trauma center ED...
November 4, 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/27823872/epidemiologic-trends-in-loperamide-abuse%C3%A2-and%C3%A2-misuse
#16
J Priyanka Vakkalanka, Nathan P Charlton, Christopher P Holstege
STUDY OBJECTIVE: Loperamide abuse has been increasing in the United States as a potential alternative to manage opioid withdrawal symptoms or to achieve euphoric effects of opioid use. In June 2016, the Food and Drug Administration warned health care providers and the general public about potential serious adverse outcomes, including cardiac dysrhythmias and death. The purpose of this study is to determine recent trends in intentional loperamide abuse and misuse, reported clinical effects and management, and medical outcomes as reported to poison centers across the United States...
November 4, 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/27823871/should-antiepileptic-drugs-be-initiated-in-the-emergency-department-after-a-first-time-seizure
#17
EDITORIAL
Michael Gottlieb, Galeta Carolyn Clayton
No abstract text is available yet for this article.
November 4, 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/27823870/update-does-rocuronium-create-better-intubating-conditions-than-succinylcholine-for-rapid-sequence-intubation
#18
EDITORIAL
Julie L Welch, Rawle A Seupaul
No abstract text is available yet for this article.
November 4, 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/27838070/a-survey-of-staff-perceptions-of-an-emergency-medicine-pharmacist-program-in-a-community-hospital-a-brief-report
#19
Jennifer Splawski, Deanna Horner, Kevin Tao
STUDY OBJECTIVE: For an emergency medicine pharmacist to become a well-integrated multidisciplinary team member, his or her services need to be accepted by the emergency department (ED) staff. There have been 2 published studies attesting the value of the emergency medicine pharmacist by ED staff: at an academic medical and trauma center in 2007 and a large academic medical center in 2011. The aim of this study is to determine whether the emergency medicine pharmacist's value, as perceived by ED staff, would be similarly accepted at a smaller community hospital with limited clinical pharmacist services...
October 14, 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/27745766/midazolam-droperidol-droperidol-or-olanzapine-for-acute-agitation-a-randomized-clinical-trial
#20
David McD Taylor, Celene Y L Yap, Jonathan C Knott, Simone E Taylor, Georgina A Phillips, Jonathan Karro, Esther W Chan, David C M Kong, David J Castle
STUDY OBJECTIVE: We aim to determine the most efficacious of 3 common medication regimens for the sedation of acutely agitated emergency department (ED) patients. METHODS: We undertook a randomized, controlled, double-blind, triple-dummy, clinical trial in 2 metropolitan EDs between October 2014 and August 2015. Patients aged 18 to 65 years and requiring intravenous medication sedation for acute agitation were enrolled and randomized to an intravenous bolus of midazolam 5 mg-droperidol 5 mg, droperidol 10 mg, or olanzapine 10 mg...
October 10, 2016: Annals of Emergency Medicine
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