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ER Dogma

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427 papers 500 to 1000 followers ER dogma
By David Rhine MD FRCPC. Emergency medicine. Special interest in concussion management.
https://www.readbyqxmd.com/read/29158456/subarachnoid-hemorrhage
#1
Shannon M Fernando, Jeffrey J Perry
No abstract text is available yet for this article.
November 20, 2017: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/29133540/diagnosis-and-management-of-low-back-pain-in-primary-care
#2
REVIEW
Adrian Traeger, Rachelle Buchbinder, Ian Harris, Chris Maher
No abstract text is available yet for this article.
November 13, 2017: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/29136314/syncope-prognosis-based-on-emergency-department-diagnosis-a-prospective-cohort-study
#3
Cristian Toarta, Muhammad Mukarram, Kirtana Arcot, Soo-Min Kim, Sarah Gaudet, Marco L A Sivilotti, Brian H Rowe, Venkatesh Thiruganasambandamoorthy
OBJECTIVE: Relatively little is known about outcomes after disposition among syncope patients assigned various diagnostic categories during emergency department (ED) evaluation. We sought to measure the outcomes among these groups within 30 days of the initial ED visit. METHODS: We prospectively enrolled adult syncope patients at six EDs and excluded patients with pre-syncope, persistent mental status changes, intoxication, seizure, and major trauma. Patient characteristics, ED management, diagnostic impression (presumed vasovagal, orthostatic, cardiac, or other/unknown) at the end of the ED visit and physicians' confidence in assigning the etiology were collected...
November 14, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29111419/diagnosis-of-multiple-system-atrophy
#4
REVIEW
Jose-Alberto Palma, Lucy Norcliffe-Kaufmann, Horacio Kaufmann
Multiple system atrophy (MSA) may be difficult to distinguish clinically from other disorders, particularly in the early stages of the disease. An autonomic-only presentation can be indistinguishable from pure autonomic failure. Patients presenting with parkinsonism may be misdiagnosed as having Parkinson disease. Patients presenting with the cerebellar phenotype of MSA can mimic other adult-onset ataxias due to alcohol, chemotherapeutic agents, lead, lithium, and toluene, or vitamin E deficiency, as well as paraneoplastic, autoimmune, or genetic ataxias...
October 23, 2017: Autonomic Neuroscience: Basic & Clinical
https://www.readbyqxmd.com/read/29107402/malpractice-claims-it-s-a-crapshoot-time-to%C3%A2-stop-the-self-blame-and-ask-different-questions
#5
EDITORIAL
Carolyn J Sachs
No abstract text is available yet for this article.
October 26, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/29084105/intracranial-pathology-ct-in-emergency-department-patients-with-high-gcs-and-high-standard-assessment-of-concussion-sac-scores
#6
Kenneth C Curley, Brian J OʼNeil, Rosanne Naunheim, David W Wright
OBJECTIVE: To demonstrate that a subpopulation of patients with mild/moderate traumatic brain injury (TBI) had intracranial pathology despite having a Glasgow Coma Scale (GCS) score of 15 and a Standardized Assessment of Concussion (SAC) score of 25 or higher. SETTING: A network of 11 US emergency departments (ED) enrolling patients in a multisite study of TBI. PARTICIPANTS: Men and women between the ages of 18 and 85 years admitted to a participating ED having sustained a closed head injury within the prior 72 hours and a GCS score of 13 to 15 at the time of enrollment...
October 27, 2017: Journal of Head Trauma Rehabilitation
https://www.readbyqxmd.com/read/29059084/a-qualitative-exploration-of-the-shift-work-experience-the-perceived-barriers-and-facilitators-to-a-healthier-lifestyle-and-the-role-of-the-workplace-environment
#7
Fiona M Nea, L Kirsty Pourshahidi, John Kearney, M Barbara E Livingstone, Carolina Bassul, Clare A Corish
OBJECTIVES: The study aimed to understand lifestyle practices among shift workers, including an exploration of workers' perceptions of their workplace environment (WPE). METHODS: Fifteen focus groups (FGs) were conducted by two researchers, with a total of 109 participants. A pilot FG was carried out with both researchers present, to ensure consistency in facilitation. To ensure quality control, both researchers analyzed all data collected. RESULTS: Two overarching themes were observed: barriers to leading a healthier lifestyle, and facilitators to leading a healthier lifestyle...
October 20, 2017: Journal of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/29051195/management-of-paediatric-hernia
#8
Kirk Bowling, Natasha Hart, Phil Cox, Gandrapu Srinivas
No abstract text is available yet for this article.
October 19, 2017: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/29040745/the-impact-of-shift-work-on-sleep-quality-among-nurses
#9
K McDowall, E Murphy, K Anderson
Background: Shift work is common among nurses, and it is known to be a workplace hazard as it may cause poor sleep quality, which can impact adversely on the health and safety of nurses and their patients. Aims: To explore factors that contribute to poor sleep quality in shift working nurses (SWNs) compared with non-shift working nurses (NSWNs) and to assess the awareness of support from occupational health. Methods: Cross-sectional study of nurses at a National Health Service (NHS) foundation trust, February to March 2016...
October 10, 2017: Occupational Medicine
https://www.readbyqxmd.com/read/29038322/thumb-and-vallecula-signs-in-acute-infectious-epiglottitis
#10
Hiroki Matsuura, Takashi Fukumura
No abstract text is available yet for this article.
October 16, 2017: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/28990246/excited-delirium-a-systematic-review
#11
Philippe Gonin, Nicolas Beysard, Bertrand Yersin, Pierre-Nicolas Carron
STUDY OBJECTIVE: We aimed to clarify the definition, epidemiology, and pathophysiology of excited delirium syndrome (ExDS) and to summarize evidence-based treatment recommendations. METHODS: We conducted a systematic literature search of MEDLINE, Ovid, Web of Knowledge, and Cochrane Library for articles published to March 18, 2017. We also searched the grey literature (Google Scholar) and official police or medical expert reports to complete specific epidemiological data...
October 9, 2017: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/28973215/urinary-tract-infection
#12
REVIEW
Kalpana Gupta, Larissa Grigoryan, Barbara Trautner
Urinary tract infections (UTIs) are common in both inpatient and outpatient settings. This article provides an evidence-based, clinically relevant overview of management of UTIs, including screening, diagnosis, treatment, and prevention. Conditions covered include acute cystitis (both uncomplicated and complicated), catheter-associated UTI, and asymptomatic bacteriuria in both women and men.
October 3, 2017: Annals of Internal Medicine
https://www.readbyqxmd.com/read/28958216/creating-opioid-dependence-in-the-emergency-department
#13
Suneel Upadhye
Clinical question What is the risk of creating opioid dependence from an ED opioid prescription? Article chosen Barnett ML, Olenski AR, Jena AB. Opioid-prescribing patterns of emergency physicians and risk of long-term use. N Engl J Med 2017;376:663-73, doi:10.1056/NEJMsa1610524. OBJECTIVE: This study examined the risk of creating long-term opioid dependence from a prescription written in an opioid-naive patient in the ED.
September 29, 2017: CJEM
https://www.readbyqxmd.com/read/28946984/elderly-man-in-respiratory-arrest
#14
Trisha Mackle, David Rhine
No abstract text is available yet for this article.
October 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28947223/prevalence-of-pulmonary-embolism-in-patients-presenting-with-syncope-a-systematic-review-and-meta-analysis
#15
Zardasht Oqab, Heather Ganshorn, Robert Sheldon
BACKGROUND: Syncope is a common clinical presentation and establishing an etiology is often challenging. Pulmonary embolism (PE) has been thought to be an uncommon cause but a recent report suggested otherwise. OBJECTIVE: To establish the prevalence of PE in patients presenting with syncope to the emergency department (ED) and in hospitalized patients. METHODS: We systematically searched Medline, CINAHL, EMBASE, LILACS and Web of Science with relevant keywords and MeSH headings for syncope and PE...
September 14, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28405250/the-management-of-venous-thromboembolism-a-practical-tool-for-the-front-line-clinician
#16
Tammy J Bungard, William Semchuk
No abstract text is available yet for this article.
March 2017: Canadian Pharmacists Journal: CPJ, Revue des Pharmaciens du Canada: RPC
https://www.readbyqxmd.com/read/28912085/the-evaluation-of-the-sensitivity-and-specificity-of-wrist-examination-findings-for-predicting-fractures
#17
Yesim Eyler, Mustafa Sever, Ali Turgut, Necmiye Yalcin, Nur Zafer, Aslı Suner, Ersin Aksay, Murat Yesilaras
No abstract text is available yet for this article.
August 24, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28893450/emergency-medicine-evaluation-and-management-of-the-end-stage-renal-disease-patient
#18
REVIEW
Brit Long, Alex Koyfman, Courtney M Lee
BACKGROUND: End stage renal disease (ESRD) is increasing in the U.S., and these patients demonstrate greater all-cause mortality, cardiovascular events, and hospitalization rates when compared to those with normal renal function. These patients may experience significant complications associated with loss of renal function and dialysis. OBJECTIVE: This review evaluates complications of ESRD including cardiopulmonary, neurologic, infectious disease, vascular, and access site complications, as well as medication use in this population...
September 5, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28855066/emergency-department-approach-to-qtc-prolongation
#19
REVIEW
Ali Pourmand, Maryann Mazer-Amirshahi, Sonya Chistov, Youssef Sabha, Damir Vukomanovic, Mohammed Almulhim
QTc prolongation has been associated with increased risk of developing ventricular tachydysrhythmias, particularly Torsades de Pointes (TdP). QTc prolongation is influenced by many factors including congenital causes, heart rate, metabolic imbalances, and pharmacotherapy. Several commonly used medications in the emergency department (ED), such as antipsychotics and antiemetics, are known to prolong the QT interval. In addition, ED patients may present with conditions that may predispose them to QTc prolongation, such as drug overdose or hypokalemia, which can further complicate management...
August 24, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28843308/most-children-labeled-as-penicillin-allergic-are-at-low-risk-for-true-penicillin-allergy
#20
Moshe Ben-Shoshan
No abstract text is available yet for this article.
September 2017: Journal of Pediatrics
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