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https://www.readbyqxmd.com/read/29776825/a-review-of-research-efforts-to-address-the-2008-acep-guideline-for-mild-traumatic-brain-injury
#1
Jack Manquen, Tyler Combs, Anya Mazur-Mosiewicz, Donald Sanders, Michael Schiesel, Joshua Gordon, Michelle Farabough, Matt Vassar
BACKGROUND: The objective of this study was to evaluate the temporal relationship between clinical practice guideline development and subsequent research performed, with the goal of providing more data on areas of sparse evidence that serve to underlie guideline recommendations. We aimed to assess the quality of current research efforts to address the American College of Emergency Physicians guideline and to provide suggestions for future research of mild traumatic brain injury. METHODS: We identified clinical practice guideline recommendations with low levels of underlying evidence and searched ClinicalTrials...
May 8, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29767646/letter-to-the-editor-regarding-the-joint-statement-from-the-american-college-of-surgeons-committee-on-trauma-acs-cot-and-the-american-college-of-emergency-physicians-acep-regarding-the-clinical-use-of-resuscitative-endovascular-balloon-occlusion-of-the-aorta
#2
https://www.readbyqxmd.com/read/29767645/authors-response-to-letter-to-the-editor-by-allen-et-al-regarding-joint-statement-from-the-american-college-of-surgeons-committee-on-trauma-acs-cot-and-the-american-college-of-emergency-physicians-acep-regarding-the-clinical-use-of-resuscitative-endovascular
#3
Debra G Perina, Christopher S Kang, Eileen M Bulger, Ronald M Stewart, Robert J Winchell, Megan Brenner, Sharon Henry, Leonard J Weireter, Michael C Chang, Michael F Rotondo
No abstract text is available yet for this article.
2018: Trauma surgery & acute care open
https://www.readbyqxmd.com/read/29767643/response-to-letter-to-the-editor-from-dubose-and-colleagues-regarding-the-joint-statement-from-the-american-college-of-surgeons-committee-on-trauma-acs-cot-and-the-american-college-of-emergency-physicians-acep-regarding-the-clinical-use-of-resuscitative-endovascular
#4
Megan Brenner, Debra G Perina, Eileen M Bulger, Robert J Winchell, Christopher S Kang, Sharon Henry, Ronald M Stewart, Leonard J Weireter, Michael C Chang, Michael F Rotondo
No abstract text is available yet for this article.
2018: Trauma surgery & acute care open
https://www.readbyqxmd.com/read/29767642/regarding-the-joint-statement-from-the-american-college-of-surgeons-committee-on-trauma-acs-cot-and-the-american-college-of-emergency-physicians-acep-regarding-the-clinical-use-of-resuscitative-endovascular-balloon-occlusion-of-the-aorta-reboa
#5
Bryant K Allen, David W Callaway, Michael Gibbs, Erin Noste, Kathryn West, M Austin Johnson, David Caro, Andy Godwin
No abstract text is available yet for this article.
2018: Trauma surgery & acute care open
https://www.readbyqxmd.com/read/29766135/joint-statement-from-the-american-college-of-surgeons-committee-on-trauma-acs-cot-and-the-american-college-of-emergency-physicians-acep-regarding-the-clinical-use-of-resuscitative-endovascular-balloon-occlusion-of-the-aorta-reboa
#6
Megan Brenner, Eileen M Bulger, Debra G Perina, Sharon Henry, Christopher S Kang, Michael F Rotondo, Michael C Chang, Leonard J Weireter, Michael Coburn, Robert J Winchell, Ronald M Stewart
No abstract text is available yet for this article.
2018: Trauma surgery & acute care open
https://www.readbyqxmd.com/read/29599652/the-utility-of-lumbar-puncture-after-a-negative-head-ct-in-the-emergency-department-evaluation-of-subarachnoid-hemorrhage
#7
Harman Singh Gill, Evie Grace Marcolini, Douglas Barber, Charles R Wira
Background: American College of Emergency Physicians (ACEP) [1] recommends that patients presenting with acute non-traumatic headache concerning for subarachnoid hemorrhage (SAH) undergo lumbar puncture (LP) when non-contrast head computed tomography (CT) is negative. The diagnostic yield of this approach is unknown. Objective: Evaluate the diagnostic yield, lengths of stay and complication rates of LPs in patients undergoing Emergency Department (ED) evaluation for aneurysmal SAH. Methods: Multi-center, retrospective, hypothesis-blinded, explicit chart review of patients undergoing ED-based lumbar puncture between 2007 and 2012...
March 2018: Yale Journal of Biology and Medicine
https://www.readbyqxmd.com/read/29564661/the-learning-curve-of-sonographic-inferior-vena-cava-evaluation-by-novice-medical-students-the-pavia-experience
#8
Santi Di Pietro, Francesco Falaschi, Alice Bruno, Tiziano Perrone, Valeria Musella, Stefano Perlini
PURPOSE: The sonographic evaluation of inferior vena cava diameters and its collapsibility-that is also defined as the caval index-has become a popular way to easily obtain a noninvasive estimate of central venous pressure. This is generally considered an easy sonographic task to perform, and according to the American College of Emergency Physicians (ACEP) Guidelines 25 repetitions of this procedure should be sufficient to reach proficiency. However, little is known about the learning process for this sonographic technique...
March 21, 2018: Journal of Ultrasound
https://www.readbyqxmd.com/read/29530359/suicide-screening-scales-may-not-adequately-predict-disposition-of-suicidal-patients-from-the-emergency-department
#9
Samuel Mullinax, Christen E Chalmers, Jesse Brennan, Gary M Vilke, Kimberly Nordstrom, Michael P Wilson
BACKGROUND: Suicide screening scales have been advocated for use in the ED setting. However, it is currently unknown whether patients classified as low-risk on these scales can be safely discharged from the emergency department. This study evaluated the utility of three commonly-used suicide screening tools in the emergency department to predict ED disposition, with special interest in discharge among low-risk patients. METHODS: This prospective observational study enrolled a convenience sample of patients who answered "yes" to a triage suicidal ideation question in an urban academic emergency department...
January 31, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29475633/clinical-pharmacy-services-in-the-emergency-department
#10
Sofie Rahman Morgan, Nicole M Acquisto, Zlatan Coralic, Vicki Basalyga, Matthew Campbell, John J Kelly, Kevin Langkiet, Claire Pearson, Erick Sokn, Michael Phelan
The emergency department (ED) is a fast-paced, high-risk, and often overburdened work environment. Formal policy statements from several notable organizations, including the American College of Emergency Physicians (ACEP) and the American Society of Health-System Pharmacists (ASHP), have recognized the importance of clinical pharmacists in the emergency medicine (EM) setting. EM clinical pharmacists work alongside emergency physicians and nurses at the bedside to optimize pharmacotherapy, improve patient safety, increase efficiency and cost-effectiveness of care, facilitate antibiotic stewardship, educate patients and clinicians, and contribute to scholarly efforts...
January 31, 2018: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29383056/acgme-clinical-and-educational-work-hour-standards-perspectives-and-recommendations-from-emergency-medicine-educators
#11
Stephen J Wolf, Saadia Akhtar, Eric Gross, David Barnes, Michael Epter, Jonathan Fisher, Maria Moreira, Michael Smith, Hans House
Introduction: The American College of Emergency Physicians (ACEP) and the Council of Emergency Medicine Residency Directors (CORD) were invited to contribute to the 2016 Accreditation Council for Graduate Medical Education's (ACGME) Second Resident Duty Hours in the Learning and Working Environment Congress . We describe the joint process used by ACEP and CORD to capture the opinions of emergency medicine (EM) educators on the ACGME clinical and educational work hour standards, formulate recommendations, and inform subsequent congressional testimony...
January 2018: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29317001/video-based-learning-vs-traditional-lecture-for-instructing-emergency-medicine-residents-in-disaster-medicine-principles-of-mass-triage-decontamination-and-personal-protective-equipment
#12
Henry A Curtis, Karen Trang, Kevin W Chason, Paul D Biddinger
Introduction Great demands have been placed on disaster medicine educators. There is a need to develop innovative methods to educate Emergency Physicians in the ever-expanding body of disaster medicine knowledge. The authors sought to demonstrate that video-based learning (VBL) could be a promising alternative to traditional learning methods for teaching disaster medicine core competencies. Hypothesis/Problem The objective was to compare VBL to traditional lecture (TL) for instructing Emergency Medicine residents in the American College of Emergency Physicians (ACEP; Irving, Texas USA) disaster medicine core competencies of patient triage and decontamination...
February 2018: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/29250027/derivation-of-a-three-biomarker-panel-to-improve-diagnosis-in-patients-with-mild-traumatic-brain-injury
#13
W Frank Peacock, Timothy E Van Meter, Nazanin Mirshahi, Kyle Ferber, Robert Gerwien, Vani Rao, Haris Iqbal Sair, Ramon Diaz-Arrastia, Frederick K Korley
Background: Nearly 5 million emergency department (ED) visits for head injury occur each year in the United States, of which <10% of patients show abnormal computed tomography (CT) findings. CT negative patients frequently suffer protracted somatic, behavioral, and neurocognitive dysfunction. Our goal was to evaluate biomarkers to identify mild TBI (mTBI) in patients with suspected head injury. Methods: An observational ED study of head-injured and control patients was conducted at Johns Hopkins University (HeadSMART)...
2017: Frontiers in Neurology
https://www.readbyqxmd.com/read/29194855/regarding-wellness-and-burnout-initiatives-in-emergency-medicine
#14
Ravi Katari
No abstract text is available yet for this article.
December 1, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/28970025/suicide-risk-assessment-in-the-emergency-department-are-there-any-tools-in-the-pipeline
#15
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...
April 2018: 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
#16
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
#17
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
#18
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
#19
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
#20
Ali S Raja, Arjun K 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 r ecommendations." 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
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