journal
https://read.qxmd.com/read/36929296/how-florida-s-facility-fee-variation-can-inform-the-future-of-ed-price-transparency
#1
JOURNAL ARTICLE
Jonathan J Oskvarek, Andrew Leubitz, Jesse M Pines
No abstract text is available yet for this article.
March 16, 2023: Academic Emergency Medicine
https://read.qxmd.com/read/36923996/a-philadelphia-story
#2
JOURNAL ARTICLE
Eleanor R Menzin
No abstract text is available yet for this article.
March 15, 2023: Academic Emergency Medicine
https://read.qxmd.com/read/36916860/a-response-to-the-termination-of-an-ectopic-pregnancy-is-not-an-abortion
#3
LETTER
Margaret E Samuels-Kalow, Pooja Agrawal, Giovanni Rodriguez, Amy Zeidan, Jennifer S Love, Derek Monette, Michelle Lin, Richelle J Cooper, Tracy E Madsen, Valerie Dobiesz
No abstract text is available yet for this article.
March 14, 2023: Academic Emergency Medicine
https://read.qxmd.com/read/36912801/integrating-physical-therapy-into-an-emergency-department-a-clinical-pilot-program
#4
JOURNAL ARTICLE
Lauren M Abbate, Lindsay V Ollerenshaw, Benjamin M Kottmeyer, Colleen M McQuown, Luna C Ragsdale, Vanessa L Richardson, P Michael Ho, Adit A Ginde, Shane M O'Malley
No abstract text is available yet for this article.
March 13, 2023: Academic Emergency Medicine
https://read.qxmd.com/read/36912795/eliminating-pain-disparities-for-children-in-the-emergency-department
#5
JOURNAL ARTICLE
Sarah R Martin, Theodore Heyming, Alexandra S Kain, Baruch S Krauss, Belinda Campos
No abstract text is available yet for this article.
March 13, 2023: Academic Emergency Medicine
https://read.qxmd.com/read/36911917/sex-differences-in-guideline-consistent-diagnostic-testing-for-acute-pulmonary-embolism-among-adult-emergency-department-patients-aged-18-49
#6
JOURNAL ARTICLE
Angela F Jarman, Bryn E Mumma, Richard White, Emily Dooley, Nuen Tsang Yang, Sandra L Taylor, Craig Newgard, Cynthia Morris, Jared Cloutier, Brandon C Maughan
BACKGROUND: Pulmonary embolism (PE) is a frequent diagnostic consideration in emergency department (ED) patients, yet diagnosis is challenging because symptoms of PE are nonspecific. Guidelines recommend the use of clinical decision tools to increase efficiency and avoid harms from over testing, including D-dimer screening in patients not at high risk for PE. Women undergo testing for PE more often than men yet have a lower yield from testing. Our study objective was to determine whether patient sex influenced the odds of received guideline-consistent care...
March 13, 2023: Academic Emergency Medicine
https://read.qxmd.com/read/36876410/disparities-in-emergency-department-and-urgent-care-opioid-prescribing-before-and-after-randomized-clinician-feedback-interventions
#7
JOURNAL ARTICLE
Aidan P Crowley, Chuxuan Sun, Xiaowei Sherry Yan, Amol Navathe, Joshua M Liao, Mitesh S Patel, David Pagnotti, Zijun Shen, M Kit Delgado
OBJECTIVES: Racial and ethnic minorities receive opioid prescriptions at lower rates and dosages than white patients. Though opioid stewardship interventions can improve or exacerbate these disparities, there is little evidence about these effects. We conducted a secondary analysis of a cluster-randomized controlled trial conducted among 438 clinicians from 21 emergency departments and 27 urgent care clinics. Our objective was to determine whether randomly allocated opioid stewardship clinician feedback interventions that were designed to reduce opioid prescriptions had unintended effects on disparities in prescribing by patient race and ethnicity...
March 6, 2023: Academic Emergency Medicine
https://read.qxmd.com/read/36871137/response-to-rising-high-acuity-emergency-care-services-independently-billed-by-advanced-practice-providers-2013-to-2019
#8
LETTER
Fred Wu, Michael A Darracq
No abstract text is available yet for this article.
March 4, 2023: Academic Emergency Medicine
https://read.qxmd.com/read/36869678/the-termination-of-an-ectopic-pregnancy-is-not-an-abortion
#9
LETTER
Joel Rowe, Cindy C Bitter, Jolion McGreevy
No abstract text is available yet for this article.
March 4, 2023: Academic Emergency Medicine
https://read.qxmd.com/read/36869657/survival-by-time-to-administration-of-amiodarone-lidocaine-or-placebo-in-shock-refractory-out-of-hospital-cardiac-arrest
#10
JOURNAL ARTICLE
Joshua R Lupton, Matthew R Neth, Ritu Sahni, Jonathan Jui, Lynn Wittwer, Craig D Newgard, Mohamud R Daya
BACKGROUND: Amiodarone and lidocaine have not been shown to have a clear survival benefit compared to placebo for out-of-hospital cardiac arrest (OHCA). However, randomized trials may have been impacted by delayed administration of the study drugs. We sought to evaluate how timing from Emergency Medical Services (EMS) arrival on-scene to drug administration affects the efficacy of amiodarone and lidocaine compared to placebo. METHOD: This is a secondary analysis of the 10-site, 55 EMS agency double-blind randomized controlled Amiodarone, Lidocaine, or Placebo in OHCA Study...
March 4, 2023: Academic Emergency Medicine
https://read.qxmd.com/read/36869651/reply-to-response-to-rising-high-acuity-emergency-care-services-independently-billed-by-advanced-practice-providers-2013-to-2019
#11
LETTER
Cameron J Gettel, Jeremiah D Schuur, Jay B Mullen, Arjun K Venkatesh
No abstract text is available yet for this article.
March 4, 2023: Academic Emergency Medicine
https://read.qxmd.com/read/36869633/personalized-risk-communication-and-opioid-prescribing-in-association-with-non-prescribed-opioid-use-a-secondary-analysis-of-a-randomized-controlled-trial
#12
JOURNAL ARTICLE
Max Jordan Nguemeni Tiako, Frances Shofer, Abby Dolan, Erica B Goldberg, Karin V Rhodes, Erik P Hess, Venkatesh R Bellamkonda, Jeanmarie Perrone, Carolyn C Cannuscio, Lance Becker, Melissa A Rodgers, Michael M Zyla, Jeffrey J Bell, Sharon McCollum, Eden Engel-Rebitzer, Marilyn M Schapira, Zachary F Meisel
BACKGROUND: To determine the impact of personalized risk communication and opioid prescribing on nonprescribed opioid use, we conducted a secondary analysis of RCT participants followed prospectively for 90 days after an E.D. visit for acute back or kidney stone pain. METHODS: One thousand three hundred-one individuals were randomized during an encounter at four academic EDs into a probabilistic risk tool arm, a narrative-enhanced probabilistic risk tool arm, or a general risk information arm (control)...
March 4, 2023: Academic Emergency Medicine
https://read.qxmd.com/read/36869632/associations-between-nonfatal-firearm-injuries-and-risk-of-subsequent-suicide-among-veteran-va-users-a-retrospective-cohort-study
#13
JOURNAL ARTICLE
Kathleen F Carlson, Tess A Gilbert, Lauren Maxim, Elizabeth R Hooker, Sarah Shull, Bryann DeBeer, Susan DeFrancesco, Lauren Denneson
BACKGROUND: Suicide is a leading cause of death in the United States (US), particularly among Veterans. Nonfatal firearm injuries may indicate subsequent risk of suicide and, thus, provide important opportunities for prevention in emergency departments and other healthcare settings. We used a retrospective cohort design to analyze associations between nonfatal firearm injuries and subsequent suicide among all Veterans who used US Department of Veterans Affairs (VA) healthcare, nationally, between 2010 and 2019...
March 4, 2023: Academic Emergency Medicine
https://read.qxmd.com/read/36869627/legal-issues-pertaining-to-the-collection-of-sociodemographic-data-in-emergency-departments
#14
JOURNAL ARTICLE
Haley Hrymak, Carmen Hrymak, Paul Ratana, Murdoch Leeies
No abstract text is available yet for this article.
March 4, 2023: Academic Emergency Medicine
https://read.qxmd.com/read/36854580/the-hidden-jewel-of-emergency-medicine-careers-why-it-s-time-to-explore-the-va
#15
JOURNAL ARTICLE
Neil Patel, Chad Kessler
No abstract text is available yet for this article.
February 28, 2023: Academic Emergency Medicine
https://read.qxmd.com/read/36847429/validating-administratively-derived-frailty-scores-for-use-in-va-emergency-departments
#16
JOURNAL ARTICLE
Sharmistha Dev, Andrew A Gonzalez, Jessica Coffing, James E Slaven, Shantanu Dev, Stan Taylor, Carrie Ballard, S Nicole Hastings, Dawn M Bravata
OBJECTIVES: Frailty is a clinical syndrome characterized by decreased physiologic reserve that diminishes the ability to respond to stressors such as acute illness. VA emergency departments (ED) are the primary venue of care for Veterans with acute illness and represents a key site for frailty recognition. As questionnaire-based frailty instruments can be cumbersome to implement in the ED, we examined two administratively-derived frailty scores for use among VA ED patients. METHODS: This national retrospective cohort study included all VA ED visits (2017-2020)...
February 27, 2023: Academic Emergency Medicine
https://read.qxmd.com/read/36820470/estimated-reimbursement-impact-of-covid-19-on-emergency-physicians
#17
JOURNAL ARTICLE
Arjun K Venkatesh, Alexander T Janke, Ryan Koski-Vacirca, Craig Rothenberg, Vivek Parwani, Mike A Granovsky, Laura G Burke, Shu-Xia Li, Jesse M Pines
BACKGROUND: The delivery and financing of healthcare services were altered in unprecedented ways by COVID-19 and subsequent policy responses. We estimated reimbursement losses to emergency physicians in 2020 as compared to 2019 related to shifting acute care utilization during COVID-19. METHODS: This was an observational analysis of the Clinical Emergency Department Registry (CEDR) and the Nationwide Emergency Department Sample (NEDS). Study sample included all ED visits from a sample of 214 emergency department (ED) sites in the CEDR in 2019 and 2020, as well as all ED visits in the NEDS in 2019...
February 23, 2023: Academic Emergency Medicine
https://read.qxmd.com/read/36809681/ambulatory-follow-up-among-publicly-insured-children-discharged-from-the-emergency-department
#18
JOURNAL ARTICLE
Sriram Ramgopal, Jonathan Rodean, Elizabeth R Alpern, Matt Hall, Pradip P Chaudhari, Jennifer R Marin, Samir S Shah, Stephen B Freedman, Mohamed Eltorki, Oluwakemi Badaki-Makun, Daniel J Shapiro, Tara Rhine, Rustin B Morse, Mark I Neuman
BACKGROUND: While children discharged from the emergency department (ED) are frequently advised to follow up with ambulatory care providers, the extent to which this occurs is unknown. We sought to characterize the proportion of publicly insured children who have an ambulatory visit following ED discharge, identify factors associated with ambulatory follow-up, and evaluate the association of ambulatory follow-up with subsequent hospital-based healthcare utilization. METHODS: We performed a cross-sectional study of pediatric (<18 years) encounters during 2019 included in the IBM Watson Medicaid MarketScan claims database from 7 US states...
February 21, 2023: Academic Emergency Medicine
https://read.qxmd.com/read/36809571/a-qualitative-analysis-of-cancer-related-patient-care-in-the-emergency-department
#19
JOURNAL ARTICLE
Rebecca Lash, Nick Pettit, Eric Vachon, Candice Spackman, Claire Burke Draucker
OBJECTIVES: Due to an increasing incidence of new cancer diagnoses in the United States and longer survivorship, a growing number of patients with cancer receive care in emergency departments (EDs). This trend places an increasing burden on already crowded EDs, and experts are concerned these patients do not receive optimal care. The purpose of this study is to describe the experiences of ED physicians and nurses who care for patients with cancer. This information can inform strategies to improve oncology care for patients in ED settings...
February 21, 2023: Academic Emergency Medicine
https://read.qxmd.com/read/36802204/end-tidal-carbon-dioxide-measured-at-emergency-department-triage-outperforms-standard-triage-vital-signs-in-predicting-in-hospital-mortality-and-icu-admission
#20
JOURNAL ARTICLE
Jay G Ladde, Stacie Miller, Kevin Chin, Cole Feffer, George Gulenay, Kirsten Kepple, Christopher Hunter, Josef G Thundiyil, Linda Papa
UNLABELLED: This study assessed the ability of end tidal carbon dioxide (ETCO2) in predicting in-hospital mortality and ICU admission compared to standard vital signs at ED triage as well as comparing to measures of metabolic acidosis. METHODS: This prospective study enrolled adult patients presenting to the ED of a tertiary care level 1 trauma center over 30 months. Patients had standard vital signs measured along with exhaled ETCO2 at triage. Outcome measures included in-hospital mortality, ICU admission and correlations with lactate, sodium bicarbonate (HCO3) and anion gap...
February 21, 2023: Academic Emergency Medicine
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