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Annals of Emergency Medicine

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https://www.readbyqxmd.com/read/30420233/fast-protocol-for-treating-acute-ischemic-stroke-by-emergency-physicians-what-took-so-long
#1
EDITORIAL
Edward C Jauch, Christine A Holmstedt
No abstract text is available yet for this article.
November 9, 2018: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/30420232/identification-of-clinical-characteristics-associated-with-high-level-care-among-patients-with-skin-and-soft-tissue-infections
#2
William R Mower, Samantha P Kadera, David A Talan, Armando D Rodriguez, Vera Vanderkraan, Pravin K Krishna, Emily Chiu, McKenzie J Wilson, Malkeet Gupta, Anusha Krishnadasan, Gregory J Moran
STUDY OBJECTIVE: Serious adverse outcomes associated with skin and soft tissue infections are uncommon, and current hospitalization rates appear excessive. It would be advantageous to be able to differentiate between patients who require high-level inpatient services and those who receive little benefit from hospitalization. We sought to identify characteristics associated with the need for high-level inpatient care among emergency department patients presenting with skin and soft tissue infections...
November 9, 2018: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/30420231/hypothermic-cardiac-arrest-with-full-neurologic-recovery-after-approximately-nine-hours-of-cardiopulmonary-resuscitation-management-and-possible-complications
#3
Alessandro Forti, Pamela Brugnaro, Simon Rauch, Manuela Crucitti, Hermann Brugger, Giovanni Cipollotti, Giacomo Strapazzon
We describe full neurologic recovery from accidental hypothermia with cardiac arrest despite the longest reported duration of mechanical cardiopulmonary resuscitation (CPR) and extracorporeal life support (8 hours, 42 minutes). Clinical data and blood samples were obtained from emergency medical services (EMS) and the intensive care department. A 31-year-old man experienced a witnessed hypothermic cardiac arrest with a core temperature of 26°C (78.8°F) during a summer thunderstorm; he received mechanical CPR for 3 hours and 42 minutes, followed by 5 hours of extracorporeal life support...
November 9, 2018: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/30392737/online-ratings-of-the-patient-experience-emergency-departments-versus-urgent-care-centers
#4
Anish K Agarwal, Kevin Mahoney, Amy L Lanza, Elissa V Klinger, David A Asch, Nick Fausti, Christopher Tufts, Lyle Ungar, Raina M Merchant
STUDY OBJECTIVE: Individuals increasingly use online rating platforms to rate and review hospitals. We seek to describe and compare publicly available online review content and ratings of emergency departments (EDs) and urgent care centers. METHODS: We analyzed Yelp reviews of EDs and urgent care centers to identify topics most correlated with 1- and 5-star ratings. Latent Dirichlet Allocation, a method of identifying groups of co-occurring words in narrative text, was used to identify and label 25 topics across 1- and 5-star reviews of urgent care centers and EDs...
November 1, 2018: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/30392736/use-of-a-rapid-diagnostic-for-chlamydia-trachomatis-and-neisseria-gonorrhoeae-for-women-in-the-emergency-department-can-improve-clinical-management-report-of-a-randomized-clinical-trial
#5
Charlotte A Gaydos, Michele-Corinne Ako, Mitra Lewis, Yu-Hsiang Hsieh, Richard E Rothman, Andrea F Dugas
STUDY OBJECTIVE: In emergency departments (EDs), diagnosis and treatment of Chlamydia trachomatis and Neisseria gonorrhoeae are challenging. We conducted a randomized clinical trial to assess rapid C trachomatis and N gonorrhoeae testing on overtreatment and undertreatment of women evaluated for C trachomatis and N gonorrhoeae. METHODS: Women undergoing pelvic examinations and C trachomatis and N gonorrhoeae testing (n=254) were randomized to control or rapid test groups...
November 1, 2018: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/30392735/oral-ondansetron-administration-to-nondehydrated-children-with-diarrhea-and-associated-vomiting-in-emergency-departments-in-pakistan-a-randomized-controlled-trial
#6
Stephen B Freedman, Sajid B Soofi, Andrew R Willan, Sarah Williamson-Urquhart, Noshad Ali, Jianling Xie, Fady Dawoud, Zulfiqar A Bhutta
STUDY OBJECTIVE: We determine whether single-dose oral ondansetron administration to children with vomiting as a result of acute gastroenteritis without dehydration reduces administration of intravenous fluid rehydration. METHODS: In this 2-hospital, double-blind, placebo-controlled, emergency department-based, randomized trial conducted in Karachi Pakistan, we recruited children aged 0.5 to 5.0 years, without dehydration, who had diarrhea and greater than or equal to 1 episode of vomiting within 4 hours of arrival...
November 1, 2018: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/30392734/is-normal-saline-solution-an-acceptable-choice-of-fluid-for-stable-patients
#7
EDITORIAL
David T Huang, Raghavan Murugan
No abstract text is available yet for this article.
November 1, 2018: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/30392733/antibiotic-prescriptions-associated-with-dental-related-emergency-department-visits
#8
Rebecca M Roberts, Adam L Hersh, Daniel J Shapiro, Katherine E Fleming-Dutra, Lauri A Hicks
STUDY OBJECTIVE: The frequency of antibiotic prescribing and types of antibiotics prescribed for dental conditions presenting to the emergency department (ED) is not well known. The objective of this study is to quantify how often and which dental diagnoses made in the ED resulted in an antibiotic prescription. METHODS: From 2011 to 2015, there were an estimated 2.2 million (95% confidence interval [CI] 1.9 to 2.5 million) ED visits per year for dental-related conditions, which accounted for 1...
November 1, 2018: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/30392732/do-colloids-improve-mortality-compared-with-crystalloids-for-resuscitation-of-critical-patients
#9
EDITORIAL
Dhimitri A Nikolla, Matthew T McCarthy, Jestin N Carlson
No abstract text is available yet for this article.
November 1, 2018: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/30391030/do-mechanical-chest-compression-devices-compared-with-high-quality-manual-chest-compressions-improve-neurologically-intact-survival-of-patients-who-experience-cardiac-arrest
#10
EDITORIAL
Brit Long, Michael D April
No abstract text is available yet for this article.
October 31, 2018: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/30392738/pediatric-readiness-in-the-emergency-department
#11
EDITORIAL
Katherine Remick, Marianne Gausche-Hill, Madeline M Joseph, Kathleen Brown, Sally K Snow, Joseph L Wright
No abstract text is available yet for this article.
October 24, 2018: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/30318378/among-low-risk-patients-does-functional-testing-decrease-referrals-for-invasive-coronary-angiography-compared-with-coronary-computed-tomographic-angiography
#12
EDITORIAL
Brit Long, Michael D April
No abstract text is available yet for this article.
October 11, 2018: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/30318377/a-certain-future-for-regional-advanced-emergency-care
#13
EDITORIAL
Samuel J Stratton
No abstract text is available yet for this article.
October 11, 2018: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/30318376/a-quality-framework-for-emergency-department-treatment-of-opioid-use-disorder
#14
Elizabeth A Samuels, Gail D'Onofrio, Kristen Huntley, Scott Levin, Jeremiah D Schuur, Gavin Bart, Kathryn Hawk, Betty Tai, Cynthia I Campbell, Arjun K Venkatesh
Emergency clinicians are on the front lines of responding to the opioid epidemic and are leading innovations to reduce opioid overdose deaths through safer prescribing, harm reduction, and improved linkage to outpatient treatment. Currently, there are no nationally recognized quality measures or best practices to guide emergency department quality improvement efforts, implementation science researchers, or policymakers seeking to reduce opioid-associated morbidity and mortality. To address this gap, in May 2017, the National Institute on Drug Abuse's Center for the Clinical Trials Network convened experts in quality measurement from the American College of Emergency Physicians' (ACEP's) Clinical Emergency Data Registry, researchers in emergency and addiction medicine, and representatives from federal agencies, including the National Institute on Drug Abuse and the Centers for Medicare & Medicaid Services...
October 11, 2018: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/30318375/treatment-delays-for-patients-with-acute-ischemic-stroke-in-an-iranian-emergency-department-a-retrospective-chart-review
#15
Hadi Hassankhani, Amin Soheili, Samad S Vahdati, Farough A Mozaffari, Justin F Fraser, Neda Gilani
STUDY OBJECTIVE: We evaluate the extent and nature of treatment delays and the contributing factors influencing them for patients with acute ischemic stroke, as well as main barriers to stroke care in an Iranian emergency department (ED). METHODS: A retrospective chart review was conducted on 394 patients with acute ischemic stroke who were referred to the ED of a tertiary academic medical center in northwest Iran from March 21 to June 21, 2017. The steps of this review process included instrument development, medical records retrieval, data extraction, and data verification...
October 11, 2018: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/30318374/can-acute-uncomplicated-diverticulitis-be-safely-treated-without-antibiotics
#16
EDITORIAL
Michael Gottlieb, Nupur Shah, Brian Yu
No abstract text is available yet for this article.
October 11, 2018: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/30292524/nebulized-tranexamic-acid-use-for-pediatric-secondary-post-tonsillectomy-hemorrhage
#17
Whitney Schwarz, Timothy Ruttan, Kelly Bundick
Post-tonsillectomy hemorrhage is a frequent occurrence in the emergency department, and management of potentially life-threatening and ongoing bleeding by the emergency physician is challenging. Limited evidence-based guidelines exist, and practice patterns vary widely. We administered nebulized tranexamic acid to achieve hemostasis in a pediatric patient with associated bleeding cessation prior to definitive operative management.
October 3, 2018: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/30287122/waterfalls-and-handoffs-a-novel-physician-staffing-model-to-decrease-handoffs-in-a-pediatric-emergency-department
#18
Hiromi Yoshida, Lori E Rutman, Jingyang Chen, Michele L Shaffer, Russell T Migita, Brianna K Enriquez, George A Woodward, Suzan S Mazor
STUDY OBJECTIVE: Patient handoffs at shift change in the emergency department (ED) are a well-known risk point for patient safety. Numerous methods have been implemented and studied to improve the quality of handoffs to mitigate this risk. However, few have investigated processes designed to decrease the number of handoffs. Our objective is to evaluate a novel attending physician staffing model in an academic pediatric ED that was designed to decrease patient handoffs. METHODS: A multidisciplinary team met in August 2012 to redesign the attending physician staffing model...
October 1, 2018: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/30287121/pneumothorax-and-hemothorax-in-the-era-of-frequent-chest-computed-tomography-for-the-evaluation-of-adult-patients-with-blunt-trauma
#19
Robert M Rodriguez, Karla Canseco, Brigitte M Baumann, William R Mower, Mark I Langdorf, Anthony J Medak, Deirdre R Anglin, Gregory W Hendey, Newton Addo, Daniel Nishijima, Ali S Raja
STUDY OBJECTIVE: Although traditional teachings in regard to pneumothorax and hemothorax generally recommend chest tube placement and hospital admission, the increasing use of chest computed tomography (CT) in blunt trauma evaluation may detect more minor pneumothorax and hemothorax that might indicate a need to modify these traditional practices. We determine the incidence of pneumothorax and hemothorax observed on CT only and the incidence of isolated pneumothorax and hemothorax (pneumothorax and hemothorax occurring without other thoracic injuries), and describe the clinical implications of these injuries...
October 1, 2018: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/30287120/managing-the-elderly-emergency-department-patient
#20
REVIEW
Christina L Shenvi, Timothy F Platts-Mills
No abstract text is available yet for this article.
October 1, 2018: Annals of Emergency Medicine
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