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https://www.readbyqxmd.com/read/30536155/interpretation-errors-in-focused-cardiac-ultrasound-by-novice-pediatric-emergency-medicine-fellow-sonologists
#1
Rosemary Thomas-Mohtat, Craig Sable, Kristen Breslin, Jacqueline G Weinberg, Aparna Prasad, Lauren Zinns, Joanna S Cohen
BACKGROUND: Focused cardiac ultrasound (FOCUS) is a core competency for pediatric emergency medicine (PEM) fellows. The objectives of this study were (1) to evaluate test characteristics of PEM-fellow-performed FOCUS for pericardial effusion and diminished cardiac function and (2) to assess image interpretation independent of image acquisition. METHODS: PEM fellows performed and interpreted FOCUS on patients who also received cardiology service echocardiograms, the reference standard...
December 9, 2018: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/30536141/-the-new-additional-further-training-of-clinical-acute-and-emergency-medicine-milestone-or-stumbling-block-in-the-improvement-of-treatment-quality-in-emergency-rooms
#2
EDITORIAL
https://www.readbyqxmd.com/read/30535235/application-of-the-bacterial-meningitis-score-for-infants-aged-0-to-60-days
#3
Chris A Rees, Andrea T Cruz, Stephen B Freedman, Prashant Mahajan, Neil G Uspal, Pamela Okada, Paul L Aronson, Amy D Thompson, Paul T Ishimine, Suzanne M Schmidt, Nathan Kuppermann, Lise E Nigrovic
In 4292 infants aged ≤60 days with cerebrospinal fluid (CSF) pleocytosis, the bacterial meningitis score had excellent sensitivity (121 of 121 [100.0%] [95% confidence interval, 96.5%-100.0%]) but low specificity (66 of 4171 [1.6%] [95% confidence interval, 1.3%-2.0%]) and therefore should not be applied clinically to infants in this age group.
December 10, 2018: Journal of the Pediatric Infectious Diseases Society
https://www.readbyqxmd.com/read/30534521/global-emergency-care-clinical-practice-guidelines-a-landscape-analysis
#4
Michael McCaul, Mike Clarke, Stevan R Bruijns, Peter W Hodkinson, Ben de Waal, Jennifer Pigoga, Lee A Wallis, Taryn Young
Introduction: An adaptive guideline development method, as opposed to a de novo guideline development, is dependent on access to existing high-quality up-to-date clinical practice guidelines (CPGs). We described the characteristics and quality of CPGs relevant to prehospital care worldwide, in order to strengthen guideline development in low-resource settings for emergency care. Methods: We conducted a descriptive study of a database of international CPGs relevant to emergency care produced by the African Federation for Emergency Medicine (AFEM) CPG project in 2016...
December 2018: African Journal of Emergency Medicine Revue Africaine de la Médecine D'urgence
https://www.readbyqxmd.com/read/30534515/emergency-health-education-in-a-conflict-stricken-environment-a-situational-analysis
#5
Ivy Muya, Joanne Garside, Marco Van-der Plas, Mohammed Ali Mohammed
Introduction: Bosasso General Hospital is located in Puntland Somalia, an area affected by prolonged civil conflict, terrorism, clan fighting and piracy. International evidence highlights that staff skills and competence may have a significant impact on patient outcomes however there has been little research on emergency education in such an austere and volatile environment. The purpose of this study therefore was to identify current practices and gaps in delivering emergency medicine education in this resource-deprived environment...
December 2018: African Journal of Emergency Medicine Revue Africaine de la Médecine D'urgence
https://www.readbyqxmd.com/read/30531050/gibson-s-theory-of-affordances-and-situational-awareness-occurring-in-urban-departments-of-pediatrics-medicine-and-emergency-medicine
#6
Timothy C Clapper, Joanna Lee, Jeffrey Phillips, Kapil Rajwani, Neel Naik, Kevin Ching
Background: The Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS® ) program provides a situation-monitoring tool that allows health-care professionals to perform an environmental scan. This process includes scanning the status of the patient, team members, and the environment, to ensure that patient care is progressing toward the goal. It is assumed that health-care professionals will act in a certain way by providing feedback and support based on the scan...
May 2018: Education for Health: Change in Training & Practice
https://www.readbyqxmd.com/read/30529292/future-emergency-nursing-workforce-what-the-evidence-is-telling-us
#7
Vanessa Lea-Anne Gorman
INTRODUCTION: In Australia, on any given day, there are more than 300 advertised emergency nursing positions, and this situation can be replicated in nearly every country internationally. The nursing shortage globally is known. The importance of not only why nurses specialize in the field of emergency nursing but also why they remain in the field requires an understanding of the evidence and research into nursing recruitment and retention. Leadership within the emergency department has a strong correlation to staff retention...
October 24, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/30529291/emergency-nurses-perceptions-of-risk-for-firearm-injury-and-its-effect-on-assessment-practices-a-mixed-methods-study
#8
Lisa A Wolf, Altair M Delao, Cydne Perhats, Paul R Clark, Michael D Moon, Kathleen Evanovich Zavotsky, Zoran Martinovich
INTRODUCTION: Injury from firearms is a significant problem in the United States, accounting for 73% of all homicides and 50% of all suicides that occurred among US residents. What is not known are the perceptions of emergency nurses regarding the impact of in-home access on the risk for firearm-related injury and death in their patient populations. The purpose of this study was to explore emergency nurses' perception of patient risk for firearm injury and in which ways that perception affected the process of ED patient screening, assessment, counseling, and discharge education...
October 24, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/30529113/research-pioneers-in-emergency-medicine-reflections-on-their-paths-to-success-and-advice-to-aspiring-researchers-a-qualitative-study
#9
Wendy C Coates, Lalena M Yarris, Samuel O Clarke, Daniel Runde, Jacqueline Kurth, Emilie Fowlkes, Jaime Jordan
STUDY OBJECTIVE: Research in basic, translational, and clinical emergency medicine has made great strides since the formalization of emergency medicine as a specialty. Our objective is to identify and analyze strategies used by emergency medicine research pioneers to inform further advancement of research in emergency medicine, particularly for aspiring researchers and those in emerging areas, using emergency medicine medical education as one example. METHODS: This was a prospective, grounded-theory, qualitative study, using a constructivist/interpretivist paradigm...
December 7, 2018: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/30528662/how-do-emergency-nurse-practitioners-experience-managing-acutely-unwell-patients-in-minor-injury-units-an-interpretative-phenomenological-analysis
#10
Annette Brett Bowen
INTRODUCTION AND AIM: Emergency nurse practitioners (ENPs) working autonomously within minor injury units (MIUs) sometimes have to manage acutely unwell patients who self present. It is likely that whilst emergency departments remain under increasing pressure, this subsection of patients will continue to attend. There is little published research exploring ENPs' experiences during such incidents. This small qualitative study aims to explore emergency nurse practitioners' experiences of managing acutely unwell patients in MIU...
December 7, 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/30527916/the-importance-to-develop-global-emergency-medicine-research-network
#11
Prashant Mahajan, Timothy Visclosky, Sanjeev Bhoi, Sagar Galwankar, Nathan Kuppermann, Robert Neumar
Despite the fact that emergency care can impact health of populations, the global epidemiology of emergencies in children and adults is unknown and substantial variation exists in emergency infrastructure among different nations, especially among the low and middle income countries. Various research networks which are etiology specific or subspecialty specific, including emergency care based networks have positively impacted the health of populations. However, emergency departments (ED) in low and middle income counties are underrepresented in most international networks...
November 23, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/30527563/emergency-medicine-evaluation-and-management-of-small-bowel-obstruction-evidence-based-recommendations
#12
Brit Long, Jennifer Robertson, Alex Koyfman
BACKGROUND: Small bowel obstruction (SBO) is a commonly diagnosed disease in the emergency department (ED). Recent literature has evaluated the ED investigation and management of SBO. OBJECTIVE: This review evaluates the ED investigation and management of adult SBO based on the current literature. DISCUSSION: SBO is most commonly due to occlusion of the small intestine, resulting in fluid and gas accumulation. This may progress to mucosal ischemia, necrosis, and perforation...
December 6, 2018: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/30527562/the-elbow-technique-a-novel-reduction-technique-for-anterior-shoulder-dislocations
#13
Honlok Lo, Po-Yin Shen, Po-Chih Shen, Pei-Hsi Chou, Cheng-Chang Lu
BACKGROUND: Anterior dislocation of the glenohumeral joint is a common upper extremity injury in orthopedic and emergency medicine. The aim of this study was to introduce a novel reduction technique, "elbow technique," for anterior shoulder dislocations. DISCUSSION: This study included 26 patients with anterior shoulder dislocation who were treated using the elbow technique in our hospital's emergency department between October 2014 and December 2015. One orthopedic physician performed the reduction maneuver and the vast majority of the patients were sedated...
December 6, 2018: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/30525348/points-pearls-bioterrorism-attacks-involving-pediatric-patients-preparedness-and-early-recognition-are-critical
#14
Joelle N Simpson, Bryan Wilson
Due to their anatomic, physiologic, developmental, and behavioral characteristics, children are particularly vulnerable to bioterrorism agents. Symptoms associated with most bioterrorism agents can be difficult to differentiate from common childhood illnesses. It is extremely important that emergency clinicians are able to recognize unusual illness patterns that could distinguish a natural outbreak from a bioterrorism attack. Resources available through government agencies and leading pediatric organizations can aid in diagnosis and treatment...
December 1, 2018: Pediatric Emergency Medicine Practice
https://www.readbyqxmd.com/read/30525346/points-pearls-influenza-diagnosis-and-management-in-the-emergency-department
#15
Al Giwa, Chinwe Ogedegbe, Charles G. Murphy, Nachi Gupta, Jeffrey Nusbaum
Emergency clinicians must be aware of the current diagnostic and therapeutic recommendations for influenza and the available resources to guide management. This comprehensive review outlines the classification of influenza viruses, influenza pathophysiology, the identification of high-risk patients, and the importance of vaccination. Seasonal variations of influenza are discussed, as well as the rationale for limiting testing during periods of high prevalence. Differences between strains of influenza are discussed, as well as the challenges in achieving optimal vaccine effectiveness...
December 1, 2018: Emergency Medicine Practice
https://www.readbyqxmd.com/read/30523713/addressing-antimicrobial-resistance-through-new-medicinal-and-synthetic-chemistry-strategies
#16
Monika I Konaklieva
Over the past century, a multitude of derivatives of structural scaffolds with established antimicrobial potential have been prepared and tested, and a variety of new scaffolds have emerged. The effectiveness of antibiotics, however, is in sharp decline because of the emergence of drug-resistant microorganisms. The prevalence of drug resistance, both in clinical and community settings, is a consequence of bacterial ingenuity in altering pathways and/or cell morphology, making it a persistent threat to human health...
December 7, 2018: SLAS Discovery
https://www.readbyqxmd.com/read/30516707/the-cno-us-healthcare-immersion-program-part-2-expanding-the-footprint-of-professional-nursing
#17
Dawna L Cato, John R Bowles, Veronica Carmack, Fuyang Liu, Mary T McFadden
As global leaders, US nurses will have an increasingly recognized role and responsibility in shaping health care in all countries. They should be at the forefront of changing and improving health systems to achieve universal health. Currently, a major health care reform is underway that requires a shift in the professional nursing footprint of China's nurse leaders. These leaders must garner knowledge capital to reinforce ethics, regulations, and standards; use current best practices; implement a comprehensive performance evaluation process; and capture the spirit of caring within their health care environments...
January 2019: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/30511109/-training-in-clinical-acute-and-emergency-medicine-supraspeciality-in-germany-a-concept-for-nationwide-implementation
#18
REVIEW
A Gries, A Seekamp, C Wrede, C Dodt
At the 121st German Physicians Conference 2018 in Erfurt a resolution to accept the full amendment of the (draft) further training regulations (MWBO) was adopted and the State Medical Councils were requested to include them in their respective areas of responsibility. Therefore, the nationwide implementation of the supraspeciality (ZWB) for clinical acute and emergency medicine has been officially finalized. After consultation with the German Medical Council (BÄK) concerning the format, both the new MWBO 2018 and now the content of the ZWB are available as of 15 November 2018...
December 3, 2018: Der Anaesthesist
https://www.readbyqxmd.com/read/30509377/spontaneous-pneumothorax-resulting-in-tension-physiology
#19
Christopher Kelly, Mark Carlberg, Troy Madsen
Spontaneous pneumothorax (SP) is a relatively common pathology in emergency medicine; however, scant information is published regarding SPs developing tension physiology in the literature. Risk factors for spontaneous pneumothorax include smoking, family history, and underlying lung disease such as chronic obstructive lung disease (COPD), cystic fibrosis, tuberculosis, among others. Treatment often involves conservative management, needle aspiration, catheter placement, or tube thoracostomy. Tension pneumothorax, however, is a life threatening condition requiring emergent intervention...
January 2019: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/30506171/limits-to-the-appropriateness-of-intensive-care-policy-statement-of-the-german-interdisciplinary-association-of-intensive-care-and-emergency-medicine-divi
#20
REVIEW
G Neitzke, H Burchardi, G Duttge, C Hartog, R Erchinger, P Gretenkort, A Michalsen, M Mohr, F Nauck, F Salomon, H Stopfkuchen, N Weiler, U Janssens
No abstract text is available yet for this article.
November 30, 2018: Medizinische Klinik, Intensivmedizin und Notfallmedizin
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