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Annals of Emergency Medicine

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https://www.readbyqxmd.com/read/28935285/is-the-pelvic-examination-still-crucial-in-patients-presenting-to-the-emergency-department-with%C3%A2-vaginal-bleeding-or-abdominal-pain-when-an-intrauterine-pregnancy-is-identified-on-ultrasonography-a-randomized-controlled-trial
#1
Judith A Linden, Benjamin Grimmnitz, Laura Hagopian, Alan H Breaud, Breanne K Langlois, Kerrie P Nelson, Lauren L Hart, James Feldman, Jeremy Brown, Marc Reid, Elise Desormeau, Patricia Mitchell
STUDY OBJECTIVE: We determine whether omitting the pelvic examination in emergency department (ED) evaluation of vaginal bleeding or lower abdominal pain in ultrasonographically confirmed early intrauterine pregnancy is equivalent to performing the examination. METHODS: We conducted a prospective, open-label, randomized, equivalence trial in pregnant patients presenting to the ED from February 2011 to November 2015. Patients were randomized to no pelvic examination versus pelvic examination...
September 18, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28935284/are-there-tools-to-screen-children-and-adolescents-in-the-emergency-department-with-mental-health-and-substance-abuse-issues
#2
EDITORIAL
Michael P Wilson, Rawle A Seupaul
No abstract text is available yet for this article.
September 18, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28935283/original-allegations-about-data-integrity-by-emergency-physicians
#3
LETTER
Paul D Kivela
No abstract text is available yet for this article.
September 18, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28935282/the-prudent-layperson-s-complicated-and-uncertain-road-to-urgent-care
#4
EDITORIAL
Michael L Callaham
No abstract text is available yet for this article.
September 18, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28935281/editor-in-chief-overview-a-controversy-about-freestanding-emergency-departments
#5
EDITORIAL
Michael L Callaham
No abstract text is available yet for this article.
September 18, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28935280/additional-information-regarding-request-for-retraction-of-ho-article
#6
LETTER
Paul D Kivela
No abstract text is available yet for this article.
September 18, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28935279/author-s-response-to-critic-s-allegations
#7
LETTER
Vivian Ho, Leanne Metcalfe, Cedric Dark, Lan Vu, Ellerie Weber, George Shelton, Howard R Underwood
No abstract text is available yet for this article.
September 18, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28935278/emergency-physicians-rebuttal-of-author-s-response
#8
LETTER
William P Jaquis, Dean Wilkerson, Michael A Granovsky, Jeffery D Bettinger, Edward R Gaines, John G Holstein, David A McKenzie, Craig Price, Adam Krushinskie
No abstract text is available yet for this article.
September 18, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28935277/comparing-freestanding-emergency-departments-hospital-based-emergency-departments-and-urgent-care-in-texas-apples-oranges-or-lemons
#9
EDITORIAL
Jeremiah D Schuur, Donald M Yealy, Michael L Callaham
No abstract text is available yet for this article.
September 18, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28935276/don-t-hate-the-player-hate-the-game
#10
EDITORIAL
Renee Y Hsia, Jaime King, Brendan G Carr
No abstract text is available yet for this article.
September 18, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28888332/machine-learning-based-electronic-triage-more-accurately-differentiates-patients-with-respect-to%C3%A2-clinical-outcomes-compared-with-the-emergency-severity-index
#11
Scott Levin, Matthew Toerper, Eric Hamrock, Jeremiah S Hinson, Sean Barnes, Heather Gardner, Andrea Dugas, Bob Linton, Tom Kirsch, Gabor Kelen
STUDY OBJECTIVE: Standards for emergency department (ED) triage in the United States rely heavily on subjective assessment and are limited in their ability to risk-stratify patients. This study seeks to evaluate an electronic triage system (e-triage) based on machine learning that predicts likelihood of acute outcomes enabling improved patient differentiation. METHODS: A multisite, retrospective, cross-sectional study of 172,726 ED visits from urban and community EDs was conducted...
September 6, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28870394/variability-in-interpretation-of-cardiac-standstill-among-physician-sonographers
#12
Kevin Hu, Nachi Gupta, Felipe Teran, Turandot Saul, Bret P Nelson, Phillip Andrus
STUDY OBJECTIVE: Cardiac standstill on point-of-care ultrasonography has been widely studied as a marker of prognosis in cardiac arrest. Return of spontaneous circulation has been reported in as few as 0% and as many as 45% of patients with cardiac standstill. When explicitly documented, the definition of cardiac activity in these studies varied from any slight change in echogenicity of the myocardium to any kinetic cardiac activity. We hypothesize that the variability in research definitions of cardiac activity may affect interpretation of video clips of patients in cardiac arrest...
September 1, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28867514/how-accurate-is-rapid-antigen-testing-for-group-a-streptococcus-in-children-with-pharyngitis
#13
EDITORIAL
Latha Ganti, Bethany L Ballinger
No abstract text is available yet for this article.
August 31, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28844764/hospital-strategies-for-reducing-emergency-department-crowding-a-mixed-methods-study
#14
Anna Marie Chang, Deborah J Cohen, Amber Lin, James Augustine, Daniel A Handel, Eric Howell, Hyunjee Kim, Jesse M Pines, Jeremiah D Schuur, K John McConnell, Benjamin C Sun
STUDY OBJECTIVE: Emergency department (ED) crowding and patient boarding are associated with increased mortality and decreased patient satisfaction. This study uses a positive deviance methodology to identify strategies among high-performing, low-performing, and high-performance improving hospitals to reduce ED crowding. METHODS: In this mixed-methods comparative case study, we purposively selected and recruited hospitals that were within the top and bottom 5% of Centers for Medicare & Medicaid Services case-mix-adjusted ED length of stay and boarding times for admitted patients for 2012...
August 25, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28844504/unsuspected-critical-illness-among-emergency-department-patients-presenting-for-acute-alcohol-intoxication
#15
Lauren R Klein, Jon B Cole, Brian E Driver, Christopher Battista, Ryan Jelinek, Marc L Martel
STUDY OBJECTIVE: Emergency department (ED) visits for acute alcohol intoxication are common, but this population is at risk for decompensation and occult critical illness. The purpose of this study is to describe the incidence and predictors of unsuspected critical illness among patients with acute alcohol intoxication. METHODS: This was a retrospective observational study of ED patients from 2011 to 2016 with acute alcohol intoxication. The study cohort included patients presenting for alcohol intoxication, whose initial assessment was uncomplicated alcohol intoxication without any other active acute medical or traumatic complaints...
August 23, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28826754/cost-effectiveness-of-magnetic-resonance-imaging-in-cervical-spine-clearance-of-neurologically-intact-patients-with-blunt-trauma
#16
Xiao Wu, Ajay Malhotra, Bertie Geng, Renu Liu, Khalid Abbed, Howard P Forman, Pina Sanelli
STUDY OBJECTIVE: Use of magnetic resonance imaging (MRI) for cervical clearance after a negative cervical computed tomography (CT) scan result in alert patients with blunt trauma who are neurologically intact is not infrequent, despite poor evidence in regard to its utility. The objective of this study is to evaluate the utility and cost-effectiveness of using MRI versus no follow-up in this patient population. METHODS: A modeling-based decision analysis was performed during the lifetime of a 40-year-old individual from a societal perspective...
August 18, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28826753/posttraumatic-stress-disorder-in-emergency-medicine-residents
#17
Lara Vanyo, Randy Sorge, Angela Chen, Dan Lakoff
No abstract text is available yet for this article.
August 18, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28826752/strategies-to-enhance-wellness-in-emergency-medicine-residency-training-programs
#18
Shana Ross, E Liang Liu, Christian Rose, Adaira Chou, Nicole Battaglioli
No abstract text is available yet for this article.
August 18, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28822590/what-antibiotic-regimen-is-most-efficacious-in-treating-pelvic-inflammatory-disease
#19
EDITORIAL
Brit Long, Michael D April
No abstract text is available yet for this article.
August 16, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28811123/emergency-department-involvement-in-accountable-care-organizations-in-massachusetts-a-survey-study
#20
Nissa J Ali, J Michael McWilliams, Stephen K Epstein, Peter B Smulowitz
STUDY OBJECTIVE: We assess Massachusetts emergency department (ED) involvement and internal ED constructs within accountable care organization contracts. METHODS: An online survey was distributed to 70 Massachusetts ED directors. Questions attempted to assess involvement of EDs in accountable care organizations and the structures in place in EDs-from departmental resources to physician incentives-to help achieve accountable care organization goals of decreasing spending and improving quality...
August 12, 2017: Annals of Emergency Medicine
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