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ER Dogma

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498 papers 1000+ followers ER dogma
By David Rhine MD FRCPC. Emergency medicine. Special interest in concussion management.
R Derse, John C Moskop, Norine A McGrath, Laura E Vearrier, Elizabeth P Clayborne, Rebecca R Goett, Walter E Limehouse, John J Lynch
Physician-assisted death (PAD) has long been a strongly debated moral and public policy issue in the United States (US), and an increasing number of jurisdictions have legalized this practice under certain circumstances. In light of changing terminology, laws, public and professional attitudes, and the availability of published data about the practice, we review key concepts and terms in the ongoing PAD debate, moral arguments for and against PAD, the current legal status of PAD in the US and in other nations, and data on the reported experience with PAD in those US jurisdictions where it is a legal practice...
September 19, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Tim Montrief, Alex Koyfman, Brit Long
INTRODUCTION: Coronary artery bypass graft (CABG) surgery remains a high-risk procedure, and many patients require emergency department (ED) management for complications after surgery. OBJECTIVE: This narrative review provides an evidence-based summary of the current data for the emergency medicine evaluation and management of post-CABG surgery complications. DISCUSSION: While there has been a recent decline in all cardiac revascularization procedures, there remains over 200,000 CABG surgeries performed in the United States annually, with up to 14% of these patients presenting to the ED within 30 days of discharge with post-operative complications...
September 8, 2018: American Journal of Emergency Medicine
Michael Gottlieb, Corey Goldstein, Edward J Ward
No abstract text is available yet for this article.
September 8, 2018: Annals of Emergency Medicine
Michael Ruzek, Peter Richman, Barnet Eskin, John R Allegra
STUDY OBJECTIVES: Numerous studies have shown benefits of nonnarcotic treatments for emergency department (ED) migraine patients. Our goal was to determine if ED treatment of migraine patients and the rate of return within 72 h have changed. METHODS: Design: Multi-hospital retrospective cohort. POPULATION: Consecutive ED patients from 1-1-1999 to 9-31-2014. PROTOCOL: For determining treatments, we examined charts at the beginning (1999-2000) and end (2014) of the time period...
August 20, 2018: American Journal of Emergency Medicine
James Vassallo, Tim Nutbeam, Annette C Rickard, Mark D Lyttle, Barney Scholefield, Ian K Maconochie, Jason E Smith
INTRODUCTION: Paediatric traumatic cardiac arrest (TCA) is a high acuity, low frequency event. Traditionally, survival from TCA has been reported as low, with some believing resuscitation is futile. Within the adult population, there is growing evidence to suggest that with early and aggressive correction of reversible causes, survival from TCA may be comparable with that seen from medical out-of-hospital cardiac arrests. Key to this survival has been the adoption of a standardised approach to resuscitation...
August 28, 2018: Emergency Medicine Journal: EMJ
Jong Woo Jung, Jun Ho Lee
BACKGROUND: This study was conducted to assess and clarify the predictive risk factor of neurologic outcome in patients with acute carbon monoxide (CO) poisoning. METHODS: A total of 453 patients with acute CO poisoning were admitted to the emergency department of Samsung Changwon Hospital from January 2010 to June 2017. Patients with acute CO poisoning who were followed for >6 months were studied. Initial Glasgow Coma Score (GCS), serum neuron-specific enolase (NSE), and lactate were measured after emergency department arrival...
July 24, 2018: American Journal of Emergency Medicine
Cristiana Baloescu
No abstract text is available yet for this article.
August 23, 2018: Annals of Emergency Medicine
Laura Howard, Christopher Wibberley, Liz Crowe, Richard Body
BACKGROUND: Emergency medicine is a high-pressured specialty with exposure to disturbing events and risk. We conducted a qualitative study to identify which clinical events resulted in emotional disruption and the impact of these events on the well-being of physicians working in an ED. METHODS: We used the principles of naturalistic inquiry to conduct narrative interviews with physicians working in the ED at Central Manchester University Hospitals NHS Foundation Trust, between September and October 2016...
October 2018: Emergency Medicine Journal: EMJ
Alex Ridgway, Peter Hulme
A shortcut review of the literature was carried out to establish whether the Testicular Workup for Ischemia and Suspected Torsion (TWIST) score was reliable and accurate enough to rule out testicular torsion in the paediatric population.Four papers were found to be relevant to the clinical question following the below-described search strategies. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of those best papers are tabulated...
September 2018: Emergency Medicine Journal: EMJ
Patrick Nee, Elaine Weir, Madhur Vardhan, Ankita Vaidya
Whooping cough is a notifiable bacterial respiratory infection caused by Bordetella pertussis It may produce serious disease, especially in immunocompromised individuals and very young children. The number of reported cases increases in the winter months and the incidence peaks every 4-5 years. However, this periodicity is variable and is inconsistent between different geographical regions. Bordetella pertussis infection (BPI) may be underdiagnosed because of its seasonality and the fact that clinical features may be indistinguishable from other respiratory disorders in the paediatric ED setting...
October 2018: Emergency Medicine Journal: EMJ
Laurie Malia, Jesse J Sturm, Sharon R Smith, R Timothy Brown, Brendan Campbell, Henry Chicaiza
Ultrasound (US) and laboratory testing are initial diagnostic tests for acute appendicitis. A diagnostic dilemma develops when the appendix is not visualized on US. OBJECTIVE: To determine if specific US findings and/or laboratory results predict acute appendicitis when the appendix is not visualized. METHODS: A prospective study was conducted on children (birth-18 yrs) presenting to the pediatric emergency department with suspected acute appendicitis who underwent right lower quadrant US...
August 7, 2018: American Journal of Emergency Medicine
Piero Amodio
Hepatic encephalopathy (HE) is a peculiar kind of brain dysfunction caused by liver insufficiency and/or portal-systemic shunting. It is related to gut-derived substances. It is a relevant cause of morbidity and hospitalisation for patients with cirrhosis. The prognosis of HE is important in terms of survival and re-hospitalisation. It is related to impaired quality of life, falls and poor driving; presents a relevant burden for caregivers and health services; and may negatively impact on patient's job and income...
June 2018: Liver International: Official Journal of the International Association for the Study of the Liver
Kenneth Schmader
Primary care providers and hospitalists frequently encounter older or immunocompromised patients with herpes zoster accompanied by debilitating pain. Atypical presentations and zosteriform herpes simplex may present diagnostic challenges to clinicians. This article summarizes the background, evidence, and guidelines for the diagnosis, complications, treatment, and prevention of herpes zoster. Diagnosis of challenging cases relies on polymerase chain reaction as the preferred test. Treatment focuses on optimal use of antiviral therapy and analgesics...
August 7, 2018: Annals of Internal Medicine
Monika L Dietrich, Russell W Steele
No abstract text is available yet for this article.
August 2018: Pediatrics in Review
Kyle Kelson, Ian S deSouza
No abstract text is available yet for this article.
July 31, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Jonathan A Edlow
No abstract text is available yet for this article.
July 27, 2018: Annals of Emergency Medicine
Sean P Patrick, Lindsay A Gaudet, Lynette D Krebs, Thane Chambers, Brian H Rowe
Objectives: Mild traumatic brain injury (mTBI) is the most common emergency department (ED) brain injury presentation worldwide. Despite its frequency, practice variation and care gaps exist among emergency physicians (EPs) in diagnosing and appropriately managing mTBI in the ED. The objective of this review was to identify mTBI-specific training undertaken to improve the detection and management of mTBIs by EPs and its impact on practice. Methods: A comprehensive search strategy utilized four bibliographic databases, the gray literature and the keywords concussion, mild traumatic brain injury, medical education, and continuing medical education (CME)...
October 2017: AEM education and training
Clare L Atzema, Alyssa Wong, Sameer Masood, Ayesha Zia, Suad Al-Bulushi, Qazi Z Sohail, Ahmed Cherry, Florence S Chan
STUDY OBJECTIVE: Emergency department (ED) visits for hypertension are rapidly increasing. Hypertension guidelines began recommending use of self-measurement blood pressure (BP) devices in the early 2000s, which could be contributing to the increase. We aim to examine the proportion of ED visits for hypertension that occurred after a BP measurement with a self-measuring device, and the associated outcomes. METHODS: This retrospective observational study included adults who made an ED visit and received a primary diagnosis of hypertension at 1 of 5 community and tertiary hospitals in Ontario, Canada, between April 2010 and March 2011...
July 18, 2018: Annals of Emergency Medicine
(no author information available yet)
No abstract text is available yet for this article.
July 18, 2018: BMJ: British Medical Journal
James Powell, Mark Sanderson, Eddy Lang
No abstract text is available yet for this article.
July 16, 2018: CJEM
2018-07-19 20:52:18
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