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https://www.readbyqxmd.com/read/28970025/suicide-risk-assessment-in-the-emergency-department-are-there-any-tools-in-the-pipeline
#1
Aaron Bowers, Chase Meyer, Shannon Hillier, Mark Blubaugh, Brie Roepke, Michelle Farabough, Joshua Gordon, Matt Vassar
BACKGROUND: It is estimated that as many as 1 in 10 individuals who complete suicide had been seen in emergency departments within the prior 2months. However, very little evidence underlies the current recommendations on managing patients with suicidal ideation presenting to the emergency department. The American College of Emergency Physicians (ACEP) and Veterans Affairs/Department of Defense (VA/DoD) have developed clinical practice guidelines for the screening and treatment of patients with suicidal ideation who present to emergency departments...
September 28, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28777898/another-perspective-on-acep-policy-on-critical-issues-in-carbon-monoxide-poisoning-invited-commentary
#2
Neil B Hampson, Richard E Moon, Lindell K Weaver
The American College of Emergency Physicians (ACEP) recently published its official policy on the evaluation and management of patients with acute carbon monoxide (CO) poisoning [1], an update of the policy previously published in 2008. Three questions regarding CO poisoning were posed to a 30-person ACEP subcommittee, which employed a comprehensive literature review to attempt to draw conclusions. While this is a major step forward, we feel that their conclusions warrant comment.
March 2017: Undersea & Hyperbaric Medicine: Journal of the Undersea and Hyperbaric Medical Society, Inc
https://www.readbyqxmd.com/read/28718065/structure-function-relationships-of-protein-lipopeptide-complexes-and-influence-on-immunogenicity
#3
Acep R Wijayadikusumah, Lucy C Sullivan, David C Jackson, Brendon Y Chua
The lipopeptide, R4Pam2Cys, associates electrostatically with soluble protein antigens and significantly enhances their ability to induce protective humoral and cell-mediated responses. We demonstrate that antibody titers elicited by the antigen ovalbumin (OVA) associated with R4Pam2Cys are higher than those elicited by OVA in the presence of alum and comparable to those elicited by OVA formulated with complete Freund's adjuvant (CFA). The hierarchy of anti-OVA antibody avidities was CFA > R4Pam2Cys = alum...
October 2017: Amino Acids
https://www.readbyqxmd.com/read/28628660/systematic-review-of-emergency-medicine-clinical-practice-guidelines-implications-for-research-and-policy
#4
REVIEW
Arjun K Venkatesh, Dan Savage, Benjamin Sandefur, Kenneth R Bernard, Craig Rothenberg, Jeremiah D Schuur
INTRODUCTION: Over 25 years, emergency medicine in the United States has amassed a large evidence base that has been systematically assessed and interpreted through ACEP Clinical Policies. While not previously studied in emergency medicine, prior work has shown that nearly half of all recommendations in medical specialty practice guidelines may be based on limited or inconclusive evidence. We sought to describe the proportion of clinical practice guideline recommendations in Emergency Medicine that are based upon expert opinion and low level evidence...
2017: PloS One
https://www.readbyqxmd.com/read/28559033/refusal-of-emergency-medical-treatment-case-studies-and-ethical-foundations
#5
Catherine A Marco, Jay M Brenner, Chadd K Kraus, Norine A McGrath, Arthur R Derse
Informed consent is an important component of emergency medical treatment. Most emergency department patients can provide informed consent for treatment upon arrival. Informed consent should also be obtained for emergency medical interventions that may entail significant risk. A related concept to informed consent is informed refusal of treatment. Patients may refuse emergency medical treatment during their evaluation and treatment. This article addresses important considerations for patients who refuse treatment, including case studies and discussion of definitions, epidemiology, assessment of decisional capacity, information delivery, medicolegal considerations, and alternative care plans...
November 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28435496/-choosing-wisely-imaging-recommendations-initial-implementation-in-new-england-emergency-departments
#6
Ali S Raja, Arjun Venkatesh, Nathan Mick, Cristopher P Zabbo, Kohei Hasegawa, Janice A Espinola, Jane C Bittner, Carlos A Camargo
INTRODUCTION: In June 2016, the American College of Emergency Physicians (ACEP) Emergency Quality Network began its Reduce Avoidable Imaging Initiative, designed to "reduce testing and imaging with low risk patients through the implementation of Choosing Wisely recommendations." However, it is unknown whether New England emergency departments (ED) have already implemented evidence-based interventions to improve adherence to ACEP Choosing Wisely recommendations related to imaging after their initial release in 2013...
April 2017: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28435482/state-emergency-department-opioid-guidelines-current-status
#7
Robert I Broida, Tanner Gronowski, Andrew F Kalnow, Andrew G Little, Christopher M Lloyd
INTRODUCTION: The purpose of this study was to evaluate and categorize current state-sponsored opioid guidelines for the practice of emergency medicine (EM). METHODS: We conducted a comprehensive search of EM-specific opioid prescribing guidelines and/or policies in each state to determine current state involvement in EM opioid prescribing, as well as to evaluate some of the specifics of each guideline or policy. The search was conducted using an online query and a follow-up email request to each state chapter of ACEP...
April 2017: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28409608/fever-in-well-appearing-children-younger-than-two-years-a-clinical-policy-from-the-acep
#8
Lisa Hauk
No abstract text is available yet for this article.
April 15, 2017: American Family Physician
https://www.readbyqxmd.com/read/28164409/emergency-physician-knowledge-attitudes-and-behavior-regarding-acep-s-choosing-wisely-recommendations-a-survey-study
#9
Michelle P Lin, Thomas Nguyen, Marc A Probst, Lynne D Richardson, Jeremiah D Schuur
OBJECTIVE: In 2013, the American College of Emergency Physicians joined the Choosing Wisely campaign; however, its impact on emergency physician behavior is unknown. We assessed knowledge, attitudes, and self-reported behaviors regarding the Choosing Wisely recommendations. METHODS: We performed a cross-sectional survey of emergency physicians at a national meeting. We approached 819 physicians; 765 (93.4%) completed the survey. RESULTS: As a result of the Choosing Wisely campaign, most respondents (64...
June 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/28139303/why-diversity-and-inclusion-are-critical-to-the-american-college-of-emergency-physicians-future%C3%A2-success
#10
EDITORIAL
Rebecca Bollinger Parker, Steven J Stack, Sandra M Schneider
No abstract text is available yet for this article.
June 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/27998625/a-consensus-driven-agenda-for-emergency-medicine-firearm-injury-prevention-research
#11
Megan L Ranney, Jonathan Fletcher, Harrison Alter, Christopher Barsotti, Vikhyat S Bebarta, Marian E Betz, Patrick M Carter, Magdalena Cerdá, Rebecca M Cunningham, Peter Crane, Jahan Fahimi, Matthew J Miller, Ali Rowhani-Rahbar, Jody A Vogel, Garen J Wintemute, Muhammad Waseem, Manish N Shah
STUDY OBJECTIVE: To identify critical emergency medicine-focused firearm injury research questions and develop an evidence-based research agenda. METHODS: National content experts were recruited to a technical advisory group for the American College of Emergency Physicians Research Committee. Nominal group technique was used to identify research questions by consensus. The technical advisory group decided to focus on 5 widely accepted categorizations of firearm injury...
February 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/27859987/evolution-of-the-model-of-the-clinical-practice-of-emergency-medicine-1979-to-present
#12
Francis L Counselman, Michael S Beeson, Catherine A Marco, Susan K Adsit, Anne L Harvey, Julia N Keehbauch
The Model of the Clinical Practice of Emergency Medicine (the EM Model) is a three-dimensional representation of the clinical practice of emergency medicine. It is a product of successful collaboration involving the American Board of Emergency Medicine (ABEM), the American College of Emergency Physicians (ACEP), the Society for Academic Emergency Medicine (SAEM), the Emergency Medicine Residents' Association (EMRA), the Council of Emergency Medicine Residency Directors (CORD), the Residency Review Committee for Emergency Medicine (RRC-EM), and the American Academy of Emergency Medicine (AAEM)...
February 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27520068/goal-directed-focused-ultrasound-milestones-revised-a-multiorganizational-consensus
#13
Mathew Nelson, Amin Abdi, Srikar Adhikari, Michael Boniface, Robert M Bramante, Daniel J Egan, J Matthew Fields, Megan M Leo, Andrew S Liteplo, Rachel Liu, Jason T Nomura, David C Pigott, Christopher C Raio, Jennifer Ruskis, Robert Strony, Chris Thom, Resa E Lewiss
In 2012 the Accreditation Council for Graduate Medical Education and the American Board of Emergency Medicine released the emergency medicine milestones. The Patient Care 12 (PC12) subcompetency delineates staged and progressive accomplishment in emergency ultrasound. While valuable as an initial framework for ultrasound resident education, there are limitations to PC12. This consensus paper provides a revised description of criteria to define the subcompetency. A multiorganizational task force was formed between the American College of Emergency Physicians Ultrasound Section, the Council of Emergency Medicine Residency Directors, and the Academy of Emergency Ultrasound of the Society for Academic Emergency Medicine...
November 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27306934/using-timely-survey-based-information-networks-to-collect-data-on-best-practices-for-public-health-emergency-preparedness-and-response-illustrative-case-from-the-american-college-of-emergency-physicians-ebola-surveys
#14
Mahshid Abir, Melinda Moore, Margaret Chamberlin, Kristi L Koenig, Jon Mark Hirshon, Cynthia Singh, Sandra Schneider, Stephen Cantrill
OBJECTIVE: Using the example of surveys conducted by the American College of Emergency Physicians (ACEP) regarding the management of Ebola cases in the United States, we aimed to demonstrate how survey-based information networks can provide timely data to inform best practices in responding to public health emergencies. METHODS: ACEP conducted 3 surveys among its members in October to November 2014 to assess the state of Ebola preparedness in emergency departments...
August 2016: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/27236117/mapping-clinical-journeys-of-asian-patients-presenting-to-the-emergency-department-with-syncope-strict-adoption-of-international-guidelines-does-not-reduce-hospitalisations
#15
Pipin Kojodjojo, Elaine Boey, Anita Elangovan, Xianyi Chen, Yuquan Tan, Devinder Singh, Wee Tiong Yeo, Toon Wei Lim, Swee Chong Seow, Tiong Beng Sim
BACKGROUND: Limited data exists about management of syncope in Asia. The American College of Emergency Physicians (ACEP) and European Society of Cardiology (ESC) guidelines have defined the high-risk syncope patient. This study aims to determine the effectiveness of managing syncope in an Asian healthcare system and whether strict adherence of international guidelines would reduce hospitalizations. METHODS: Patients attending the Emergency Department of a Singaporean tertiary hospital with syncope were identified...
September 1, 2016: International Journal of Cardiology
https://www.readbyqxmd.com/read/27181079/prescription-drug-monitoring-programs-ethical-issues-in-the-emergency-department
#16
REVIEW
Catherine A Marco, Arvind Venkat, Eileen F Baker, John E Jesus, Joel M Geiderman
Prescription drug monitoring programs are statewide databases available to clinicians to track prescriptions of controlled medications. These programs may provide valuable information to assess the history and use of controlled substances and contribute to clinical decisionmaking in the emergency department (ED). The widespread availability of the programs raises important ethical issues about beneficence, nonmaleficence, respect for persons, justice, confidentiality, veracity, and physician autonomy. In this article, we review the ethical issues surrounding prescription drug monitoring programs and how those issues might be addressed to ensure the proper application of this tool in the ED...
November 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/27157455/law-enforcement-and-emergency-medicine-an%C3%A2-ethical-analysis
#17
Eileen F Baker, John C Moskop, Joel M Geiderman, Kenneth V Iserson, Catherine A Marco, Arthur R Derse
Emergency physicians frequently interact with law enforcement officers and patients in their custody. As always, the emergency physician's primary professional responsibility is to promote patient welfare, and his or her first duty is to the patient. Emergency physicians should treat criminals, suspects, and prisoners with the same respect and attention they afford other patients while ensuring the safety of staff, visitors, and other patients. Respect for patient privacy and protection of confidentiality are of paramount importance to the patient-physician relationship...
November 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/27133392/a-randomized-trial-testing-the-effect-of-narrative-vignettes%C3%A2-versus-guideline-summaries-on-provider-response-to%C3%A2-a%C3%A2-professional-organization-clinical-policy-for-safe-opioid%C3%A2-prescribing
#18
RANDOMIZED CONTROLLED TRIAL
Zachary F Meisel, Joshua P Metlay, Lauren Sinnenberg, Austin S Kilaru, Anne Grossestreuer, Frances K Barg, Frances S Shofer, Karin V Rhodes, Jeanmarie Perrone
STUDY OBJECTIVE: Clinical guidelines are known to be underused by practitioners. In response to the challenges of treating pain amid a prescription opioid epidemic, the American College of Emergency Physicians (ACEP) published an evidence-based clinical policy for opioid prescribing in 2012. Evidence-based narratives, an effective method of communicating health information in a variety of settings, offer a novel strategy for disseminating guidelines to physicians and engaging providers with clinical evidence...
December 2016: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/27034059/learning-process-and-improvement-of-point-of-care-ultrasound-technique-for-subxiphoid-visualization-of-the-inferior-vena-cava
#19
Mauricio Gómez Betancourt, José Moreno-Montoya, Ana-María Barragán González, Juan Carlos Ovalle, Yury Forlan Bustos Martínez
BACKGROUND: Medical residents' training in ultrasonography usually follows the recommendations of the American College of Emergency Physicians (ACEP), even though these do not provide specific technical guidelines. Adequate training is considered to require 25 practical iterations in the majority of ultrasound procedures. However, the effectiveness of this approach has not been verified experimentally. We set out to determine the number of repetitions required for an acceptable ultrasound procedure of the inferior vena cava (IVC), as an important and emerging ultrasound procedure in cardiology...
December 2016: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/27000877/guidelines-in-review-2015-acr-acc-aha-aats-acep-asnc-nasci-saem-scct-scmr-scpc-snmmi-str-sts-appropriate-utilization-of-cardiovascular-imaging-in-emergency-department-patients-with-chest-pain-a-joint-document-of-the-american-college-of-radiology-appropriateness
#20
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