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Emergency department

Gennaro D'Amato, Isabella Annesi-Maesano, Lorenzo Cecchi, Maria D'Amato
Thunderstorm asthma (TA) refers to the sudden increase of acute bronchospasm following a storm during pollen seasons, necessitating primary care facilities by general practioner (GP) visits, Emergency Department (ED) admissions and hospitalizations, sometimes also endotracheal intubation for severe asthma and near fatal asthma (NFA). In the scientific literature, there are descriptions of epidemics of TA in various geographical areas of the world (1-8) and climate change scenarios indicate there will be an increase in the intensity and frequency of heavy rainfall episodes, including thunderstorms, in all the world...
September 22, 2018: Allergy
Gregory J Moran, Carisa De Anda, Anita F Das, Sinikka Green, Purvi Mehra, Philippe Prokocimer
INTRODUCTION: Injection drug users (IDUs) often develop acute bacterial skin and skin structure infections (ABSSSI) and use emergency departments as their primary source for medical care. METHODS: A post hoc subgroup analysis of two randomized trials examined the efficacy and safety of tedizolid in the treatment of ABSSSI in IDUs. IDUs (n = 389) were identified from two pooled phase 3 trials (NCT01170221, NCT01421511) in patients with ABSSSI (n = 1333). Patients were randomly assigned to tedizolid phosphate (200 mg once daily, 6 days) or linezolid (600 mg twice daily, 10 days)...
September 21, 2018: Infectious Diseases and Therapy
K Tinsley Anderson, Marisa A Bartz-Kurycki, Dalya M Ferguson, Akemi L Kawaguchi, Mary T Austin, Lillian S Kao, Kevin P Lally, KuoJen Tsao
BACKGROUND: Opioid misuse is a public health crisis in the United States. This study aimed to evaluate the discharge opioid prescription practices for pediatric simple appendectomy patients. METHODS: A retrospective review of pediatric appendectomy patients at a tertiary children's hospital was conducted from October 2016 to January 2018. Only patients with simple appendicitis were included. Written opioid prescriptions were found in the electronic medical record (EMR) or through a statewide prescription monitoring database...
September 2, 2018: Journal of Pediatric Surgery
Joseph D Forrester, Kenneth Tran, Lakshika Tennakoon, Kristan Staudenmayer
BACKGROUND: Rock climbing and mountaineering are popular outdoor recreational activities. More recently, indoor climbing has become popular, which has increased the number of persons at risk for climbing-related injuries. OBJECTIVE: To assess the morbidity, mortality, and healthcare cost due to climbing-related injury among persons presenting to US emergency departments (ED). METHODS: We performed a retrospective analysis of the 2010 to 2014 National Emergency Department Sample database, a nationally representative sample of all visits to US EDs...
September 18, 2018: Wilderness & Environmental Medicine
Taehwan Park
BACKGROUND: Despite the rising popularity of using specialty medications for patients with rheumatoid arthritis (RA), little is known about the use or spending on medical services among these patients. OBJECTIVE: The objective of this study was to investigate health care utilization and expenditures among patients with RA using specialty medications compared with those using non-specialty (i.e., traditional) medications. METHODS: This was a retrospective cohort study using Medical Expenditure Panel Survey data from 2009 through 2015...
September 12, 2018: Research in Social & Administrative Pharmacy: RSAP
Dennis W Ashley, John L Wood, James D Colquitt, Ramupriya Vaithi
No abstract text is available yet for this article.
July 1, 2018: American Surgeon
Jeffrey D White, Barry R O'Keefe, Jitendra Sharma, Ghazala Javed, Vid Nukala, Aniruddha Ganguly, Ikhlas A Khan, Nagi B Kumar, Hasan Mukhtar, Guido F Pauli, Larry Walker, Sudha Sivaram, Preetha Rajaraman, Edward L Trimble
Therapies originating from traditional medical systems are widely used by patients in both India and the United States. The first India-US Workshop on Traditional Medicine was held in New Delhi, India, on March 3 and 4, 2016, as a collaboration between the Ministry of Ayurveda, Yoga and Naturopathy, Unani, Siddha, and Homoeopathy (AYUSH) of the Government of India, the US National Cancer Institute (NCI), National Institutes of Health, and the Office of Global Affairs, US Department of Health and Human Services...
September 2018: Journal of Global Oncology
Luis García de Guadiana-Romualdo, Enrique Jiménez-Santos, Pablo Cerezuela-Fuentes, Ignacio Español-Morales, Mario Berger, Patricia Esteban-Torrella, Ana Hernando-Holgado, María Dolores Albaladejo-Otón
Background Early diagnosis of infection is essential for the initial management of cancer patients with chemotherapy-associated febrile neutropenia (FN). In this study, we have evaluated two emerging infection biomarkers, pancreatic stone protein (PSP) and soluble receptor of interleukin 2, known as soluble cluster of differentiation 25 (sCD25), for the detection of an infectious cause in FN, in comparison with other commonly used infection biomarkers, such as procalcitonin (PCT). Methods A total of 105 cancer patients presenting to the emergency department were prospectively enrolled...
September 21, 2018: Clinical Chemistry and Laboratory Medicine: CCLM
Ellen T Reibling, Steven M Green, Tammy Phan, Elena Lopez-Gusman, Lizveth Fierro, Andrew Davis, Thomas Sugarman, Marc Futernick
OBJECTIVES: We wished to estimate the frequency and describe the nature of emergency department (ED) procedural sedation restrictions in the State of California. METHODS: We surveyed medical directors for all licensed EDs statewide regarding limitations on procedural sedation practice. Our primary outcome was the frequency of restrictions on procedural sedation, defined as an inability to administer moderate sedation, deep sedation, and typical ED sedative agents in accordance with American College of Emergency Physicians (ACEP) guidelines...
September 21, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Melissa K Miller, Cynthia Mollen, Kelli Behr, M Denise Dowd, Elizabeth Miller, Catherine L Satterwhite, Stephani Stancil, Nancy Allen, Jeffery Michael, P Charles Inboriboon, Andrew Park, Kathy Goggin
OBJECTIVE: To develop an acceptable clinical decision support (CDS) system to facilitate evidence-based sexual health care for adolescents in the emergency department (ED). METHODS: In this multi-phased iterative process, we engaged an expert group to synthesize evidence on a wide range of sexual health services (e.g., contraception, condoms, identification and treatment of previously diagnosed sexually transmitted infection). We created a computerized questionnaire and embedded our decision-tree, utilizing patient-entered responses to create tailored, evidence-based recommendations, and embedded links to study-related resources such as the emergency contraception (EC) Quick Guide...
September 21, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Yvonne A Johnston, Gwen Bergen, Michael Bauer, Erin M Parker, Leah Wentworth, Mary McFadden, Chelsea Reome, Matthew Garnett
Background and Objectives: Older adult falls pose a growing burden on the U.S. health care system. The Centers for Disease Control and Prevention's Stopping Elderly Accidents, Deaths, and Injuries (STEADI) initiative was developed as a multifactorial approach to fall prevention that includes screening for fall risk, assessing for modifiable risk factors, and prescribing evidence-based interventions to reduce fall risk. The purpose of this study was to determine the impact of a STEADI initiative on medically treated falls within a large health care system in Upstate New York...
September 20, 2018: Gerontologist
Ujuchukwu Okpechi, Kevin Regis, Rosibell Arcia, Kenneth Soyemi
Osteogenesis imperfecta can be commonly mistaken for child abuse because of similar pattern of injuries. AA is a 3-week-old baby who presented to our emergency department with excessive crying. Skeletal survey revealed subacute spiral fracture of the right humerus, right posterior eighth and ninth ribs, acute fracture of the left femur, bowing of tibia and femur, and osteopenia. Subsequent geneticist examination and genetic testing noted blue sclera and heterozygosity for a variant of COL1A gene.
2018: Pediatric Health, Medicine and Therapeutics
(no author information available yet)
No abstract text is available yet for this article.
October 2018: Journal of Nursing Administration
Jessica L Saben, Shelby K Shelton, Andrew J Hopkinson, Brandon J Sonn, Eleanor B Mills, Makayla Welham, Megan Westmoreland, Richard Zane, Adit A Ginde, Kelly Bookman, Justin Oeth, Mark Chavez, Michael DeVivo, Alison Lakin, John Heldens, Laurie Blumberg Romero, Michael J Ames, Emily R Roberts, Matthew Taylor, Kristy Crooks, Stephen J Wicks, Kathleen C Barnes, Andrew A Monte
The Emergency Medicine Specimen Bank (EMSB) was developed to facilitate precision medicine in acute care. The EMSB is a biorepository of clinical health data and biospecimens collected from all adult, English- or Spanish-speaking individuals who are able and willing to provide consent and are treated at the UCHealth - University of Colorado Hospital Emergency Department (UCH-ED). The EMSB is the first acute care biobank that seeks to enroll all patients, with all conditions who present to the ED. Acute care biobanking presents many challenges that are unique to acute care settings such as providing informed consent in a uniquely stressful and fast-paced environment and collecting, processing, and storing samples for tens of thousands of patients per year...
September 21, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Ming-Chan Wu, Kuan-Ting Liu, I-Jeng Yeh, Yen-Hung Wu
There were few case reports discuss about iatrogenic chest wall hematoma. Although it is rare life threatening, it still can result in significant morbidity. A 68-year-old woman with histories of end-stage renal disease under regular hemodialysis and congestive heart failure was sent to our emergency department because of progression of ecchymosis over the anterior chest wall a few hours after hemodialysis. The right subclavian hemodialysis catheter was inserted for hemodialysis on the same day. She did not have a history of bleeding disorders and was not taking any antiplatelet or anticoagulant agents...
October 2018: American Journal of Emergency Medicine
Joel Martin Geiderman, Sanjeev Malik, James J McCarthy, Andy Jagoda
People identified as Very Important Persons (VIPs) often present or are referred to the Emergency Department (ED). Celebrities are a small subset of this group, but many others are included. Triage of these patients, including occasional prioritization, creates practical and ethical challenges. Treatment also provides challenges with the risks of over testing, overtreatment, over consultation, and over or under admission to the hospital. This article presents a practical and ethical framework for addressing the care of VIPs in the ED...
October 2018: American Journal of Emergency Medicine
Jay M Brenner, Eileen F Baker, Kenneth V Iserson, Nicholas H Kluesner, Kenneth D Marshall, Laura Vearrier
No abstract text is available yet for this article.
October 2018: Annals of Emergency Medicine
David Inwald, Ruth R Canter, Kerry Woolfall, Caitlin B O'Hara, Paul R Mouncey, Zohra Zenasni, Nicholas Hudson, Steven Saunders, Anjali Carter, Nicola Jones, Mark D Lyttle, Simon Nadel, Mark J Peters, David A Harrison, Kathryn M Rowan
BACKGROUND: There has been no randomised controlled trial (RCT) of fluid bolus therapy in paediatric sepsis in the developed world despite evidence that excess fluid may be associated with harm. OBJECTIVES: To determine the feasibility of the Fluids in Shock (FiSh) trial - a RCT comparing restricted fluid bolus (10 ml/kg) with current practice (20 ml/kg) in children with septic shock in the UK. DESIGN: (1) Qualitative feasibility study exploring parents' views about the pilot RCT...
September 2018: Health Technology Assessment: HTA
Jeremy Y Chow, W Scott Comulada, Jennifer L Gildner, Katherine A Desmond, Arleen A Leibowitz
Federally Qualified Health Centers (FQHCs) have long been important sources of care for publicly insured people living with HIV. FQHC users have historically used emergency departments (EDs) at a higher-than-average rate. This paper examines whether this greater use relates to access difficulties in FQHCs or to characteristics of FQHC users. Zero-inflated Poisson models were used to estimate how FQHC use related to the odds of being an ED user and annual number of ED visits, using claims data on 6,284 HIV-infected California Medicaid beneficiaries in 2008-2009...
September 21, 2018: AIDS Care
Rebecca M Prince, Melanie Powis, Alona Zer, Eshetu G Atenafu, Monika K Krzyzanowska
Emergency department visits and hospitalisations (ED+H) during systemic therapy are undesirable for both patients and the health system. We undertook a systematic literature review and meta-analysis to evaluate the frequency of unplanned all-cause and treatment-related ED+H among adults receiving adjuvant or palliative-intent systemic therapy for all cancers. Randomised controlled trials (RCT) and observational studies (OS) reporting ED+H were identified from Medline and EMBASE from inception to June 2016. Quality was assessed using modified STROBE, CONSORT or PRISMA guidelines, depending on study type...
September 20, 2018: European Journal of Cancer Care
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