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Annals of Emergency Medicine

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https://www.readbyqxmd.com/read/28549620/the-effect-of-opioid-prescribing-guidelines-on-prescriptions-by-emergency-physicians-in-ohio
#1
Scott G Weiner, Olesya Baker, Sabrina J Poon, Ann F Rodgers, Chad Garner, Lewis S Nelson, Jeremiah D Schuur
STUDY OBJECTIVE: The objective of our study is to evaluate the association between Ohio's April 2012 emergency physician guidelines aimed at reducing inappropriate opioid prescribing and the number and type of opioid prescriptions dispensed by emergency physicians. METHODS: We used Ohio's prescription drug monitoring program data from January 1, 2010, to December 31, 2014, and included the 5 most commonly prescribed opioids (hydrocodone, oxycodone, tramadol, codeine, and hydromorphone)...
May 20, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28506439/clinical-review-loperamide-toxicity
#2
REVIEW
Peter E Wu, David N Juurlink
Loperamide is a nonprescription opioid widely used for the treatment of diarrhea. Although it is relatively safe at therapeutic doses, increasing reports describe its misuse and abuse at very high doses either for euphoric effects or to attenuate symptoms of opioid withdrawal. Life-threatening loperamide toxicity can result from the relatively new clinical syndrome of loperamide-induced cardiac toxicity. These patients are often young and may present in cardiac arrest or with unheralded, recurrent syncope in conjunction with ECG abnormalities, including marked QT-interval prolongation, QRS-interval widening, and ventricular dysrhythmias...
May 13, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28499727/the-rush-from-judgment
#3
EDITORIAL
Robert L Wears, Gary Klein
No abstract text is available yet for this article.
May 10, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28499728/push-alert-notification-of-troponin-results-to-physician-smartphones-reduces-the-time-to-discharge-emergency-department-patients-a%C3%A2-randomized-controlled-trial
#4
Aikta Verma, Angela S Wang, Michael J Feldman, Darren A Hefferon, Alex Kiss, Jacques S Lee
STUDY OBJECTIVE: For emergency department (ED) patients with chest pain, discharge decisions often hinge on troponin results. Push-alert notifications deliver results immediately to physician smartphones. Our objective is to determine whether troponin push alerts improve the time to discharge decisions for ED patients with chest pain. METHODS: In an academic ED, we assessed the effect of a quality improvement initiative using troponin push alerts to physician smartphones, with a cluster-randomized evaluation...
May 5, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28483289/an-observational-study-to-determine-whether-routinely-sending-patients-home-with-a-24-hour-supply-of-topical-tetracaine-from-the-emergency-department-for-simple-corneal-abrasion-pain-is-potentially-safe
#5
Neil Waldman, Ben Winrow, Ian Densie, Andrew Gray, Scott McMaster, George Giddings, John Meanley
STUDY OBJECTIVE: To determine if the number of emergency department (ED) rechecks, persistent fluorescein uptake, ophthalmology referrals, or complications would be affected by the prescription of topical tetracaine for pain relief from simple corneal abrasions (SCAs). METHODS: This retrospective cohort study was conducted in an ED where policy change allowed physicians to use topical tetracaine hydrochloride 1% eye drops for 24 hours for pain treatment for patients with corneal abrasions...
May 2, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28476259/levocetirizine-and-prednisone-are-not-superior-to-levocetirizine-alone-for-the-treatment-of-acute-urticaria-a-randomized-double-blind-clinical%C3%A2-trial
#6
Caroline Barniol, Emilie Dehours, Jean Mallet, Charles-Henri Houze-Cerfon, Dominique Lauque, Sandrine Charpentier
STUDY OBJECTIVE: We evaluate the efficacy of a 4-day course of prednisone added to antihistamine for the management of acute urticaria in an emergency department (ED). METHODS: In this double-blind randomized clinical trial, patients were eligible for inclusion if aged 18 years or older and with acute urticaria of no more than 24 hours' duration. Patients with anaphylaxis or who had received antihistamines or glucocorticoids during the previous 5 days were not included...
May 2, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28460865/are-nonsteroidal-anti-inflammatory-drugs-efficacious-in-relieving-biliary-colic-pain
#7
EDITORIAL
Brit Long, Michael D April
No abstract text is available yet for this article.
April 28, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28460864/ropivacaine-intramuscular-paracervical-injections-for-pediatric-headache-a-randomized-placebo-controlled-trial
#8
Susan K Yaeger, Michelle C Perry, Kerry Caperell, Keith A Coffman, Robert W Hickey
STUDY OBJECTIVE: We seek to determine whether ropivacaine cervical paraspinal injections compared with normal saline solution injections provide headache relief to pediatric patients that is sufficient for emergency department (ED) discharge. METHODS: We enrolled children aged 7 to 17 years in a double-blinded, randomized, controlled trial of patients presenting to a pediatric ED with headache. Subjects were randomized into 1 of 3 groups: bilateral cervical paraspinal injections of either (1) 0...
April 28, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28460863/psychological-skills-to-improve-emergency-care-providers-performance-under-stress
#9
Michael J Lauria, Isabelle A Gallo, Stephen Rush, Jason Brooks, Rory Spiegel, Scott D Weingart
Stress experienced by emergency medical providers during the resuscitation of critically ill or injured patients can cause cognitive and technical performance to deteriorate. Psychological skills training offers a reasonable and easily implemented solution to this problem. In this article, a specific set of 4 performance-enhancing psychological skills is introduced: breathe, talk, see, and focus. These skills comprise breathing techniques, positive self-talk, visualization or mental practice, and implementing a focus "trigger word...
April 28, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28460862/does-prestroke-antiplatelet-therapy-increase-the-risk-of-symptomatic-intracranial-hemorrhage-in-patients-receiving-tissue-plasminogen-activator-for-acute-ischemic-stroke
#10
EDITORIAL
Clark G Owyang, Cappi Lay
No abstract text is available yet for this article.
April 28, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28460861/beyond-volume-indicators-and-centralization-toward-a-broad-perspective-on-policy-for-improving-quality-of-emergency-care
#11
Jeroen Postma, Teun Zuiderent-Jerak
STUDY OBJECTIVE: Policymakers increasingly regard centralization of emergency care as a useful measure to improve quality. However, the clinical studies that are used to justify centralization, arguing that volume indicators are a good proxy for quality of care ("practice makes perfect"), have significant shortcomings. In light of the introduction of a new centralization policy in the Netherlands, we show that the use of volume indicators in emergency care is problematic and does not do justice to the daily care provided in emergency departments (EDs)...
April 28, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28460860/advancing-emergency-medicine-by-incorporating-sex-and-gender-it-benefits-women-it-benefits%C3%A2-men
#12
EDITORIAL
Alyson J McGregor, Marna Rayl Greenberg, Esther K Choo, Basmah Safdar
No abstract text is available yet for this article.
April 28, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28460859/paramedic-intubation-does-practice-make-perfect
#13
EDITORIAL
Jestin N Carlson, Henry E Wang
No abstract text is available yet for this article.
April 28, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28460858/analysis-of-out-of-hospital-pediatric-intubation-by%C3%A2-an-australian-helicopter-emergency-medical%C3%A2-service
#14
Brian J Burns, Joanna B Watterson, Sandra Ware, Luke Regan, Cliff Reid
STUDY OBJECTIVE: We examine first-look success in emergency pediatric intubation by a physician-staffed helicopter emergency medical service (EMS). METHODS: A database analysis of all pediatric (<16 years) intubations during a 64-month period was undertaken, using data from a prospectively enrolled electronic airway registry form. Recorded findings included patient demographics, operator background, airway intervention including intubation attempts, complications, and critical timings...
April 28, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28395927/correction-correction-to-clinical-policy-procedural-sedation-and-analgesia-in-the-emergency%C3%A2-department-annals-of-emergency-medicine-63-2014-247-258-e18
#15
Steven A Godwin, John H Burton, Charles J Gerardo, Benjamin W Hatten, Sharon E Mace, Scott M Silvers, Francis M Fesmire
Due to a miscommunication during the process of transferring this manuscript from our editorial team to Production, the Members of the American College of Emergency Physicians Clinical Policies Committee (Oversight Committee) were not properly indexed in PubMed. This has now been corrected online. The publisher would like to apologize for any inconvenience caused.
April 7, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28395926/do-inhaled-anticholinergic-agents-in-addition-to-%C3%AE-agonists-improve-outcomes-in-acute-asthma-exacerbations
#16
EDITORIAL
Michael Gottlieb, Matthew J Kuhns
No abstract text is available yet for this article.
April 7, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28395925/correction-correction-to-clinical-policy-critical-issues-in-the-evaluation-of-adult-patients-with-suspected-transient-ischemic-attack-in-the-emergency-department-annals-of-emergency-medicine-68-2016-354-370-e29
#17
Bruce M Lo, Christopher R Carpenter, Benjamin W Hatten, Brian J Wright, Michael D Brown
Due to a miscommunication during the process of transferring this manuscript from our editorial team to Production, the Members of the American College of Emergency Physicians Clinical Policies Committee (Oversight Committee) were not properly indexed in PubMed. This has now been corrected online. The publisher would like to apologize for any inconvenience caused.
April 7, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28395924/correction-correction-to-clinical-policy-critical-issues-in-the-initial-evaluation-and-management-of-patients-presenting-to-the-emergency-department-in-early-pregnancy-annals-of-emergency-medicine-69-2017-241-250-e20
#18
Sigrid A Hahn, Susan B Promes, Michael D Brown
Due to a miscommunication during the process of transferring this manuscript from our editorial team to Production, the Members of the American College of Emergency Physicians Clinical Policies Committee (Oversight Committee) were not properly indexed in PubMed. This has now been corrected online. The publisher would like to apologize for any inconvenience caused.
April 7, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28395923/correction-correction-to-clinical-policy-use-of-intravenous-tissue-plasminogen-activator-for-the-management-of-acute-ischemic-stroke-in-the-emergency-department-annals-of-emergency-medicine-66-2015-322-333-e31
#19
Michael D Brown, John H Burton, Devorah J Nazarian, Susan B Promes
Due to a miscommunication during the process of transferring this manuscript from our editorial team to Production, the Members of the American College of Emergency Physicians Clinical Policies Committee (Oversight Committee) were not properly indexed in PubMed. This has now been corrected online. The publisher would like to apologize for any inconvenience caused.
April 7, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28395922/correction-correction-to-clinical-policy-for-well-appearing-infants-and-children-younger-than-2-years-of-age-presenting-to-the-emergency-department-with-fever-annals-of-emergency-medicine-67-2016-625-639-e13
#20
Sharon E Mace, Seth R Gemme, Jonathan H Valente, Barnet Eskin, Katherine Bakes, Deena Brecher, Michael D Brown
Due to a miscommunication during the process of transferring this manuscript from our editorial team to Production, the Members of the American College of Emergency Physicians Clinical Policies Committee (Oversight Committee) were not properly indexed in PubMed. This has now been corrected online. The publisher would like to apologize for any inconvenience caused.
April 7, 2017: Annals of Emergency Medicine
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