journal
https://read.qxmd.com/read/36453134/diagnostic-accuracy-of-the-physical-exam-in-emergency-department-patients-with-acute-vertigo-or-dizziness-systematic-review-and-meta-analysis-for-grace-3
#1
REVIEW
Vishal Paresh Shah, Lucas Oliveira J E Silva, Wigdan Farah, Mohamed O Seisa, Abdalla Kara Balla, April Christensen, Magdoleen Farah, Bashar Hasan, Fernanda Bellolio, M Hassan Murad
BACKGROUND: History and physical exam are key features to narrow the differential diagnosis of central versus peripheral causes in patients presenting with acute vertigo. We conducted a systematic review and meta-analysis of the diagnostic test accuracy of physical exam findings. METHODS: Patient-intervention-control-outcome (PICO) question, (P) adult ED patients with vertigo/dizziness; (I) presence/absence of specific physical exam findings; (O) central (ischemic stroke, hemorrhage, others) versus peripheral etiology...
December 1, 2022: Academic Emergency Medicine
https://read.qxmd.com/read/36448574/timing-for-nystagmus-evaluation-by-standing-or-hints-in-patients-with-vertigo-dizziness-in-the-emergency-department
#2
JOURNAL ARTICLE
Simone Vanni, Peiman Nazerian, Rudi Pecci, Giuseppe Pepe, Andrea Pavellini, Claudia Casula, Ersilia de Curtis, Matteo Rocchetti, Paolo Vannucchi, Maurizio Bartolucci
No abstract text is available yet for this article.
November 30, 2022: Academic Emergency Medicine
https://read.qxmd.com/read/36448276/the-use-of-dexmedetomidine-in-the-emergency-department-a-systematic-review
#3
REVIEW
Kevin Baumgartner, Veronica Groff, Lauren H Yaeger, Brian M Fuller
BACKGROUND: Dexmedetomidine (DEX), a centrally acting alpha-2 agonist, is increasingly used for sedation in multiple clinical settings. Evidence from the intensive care unit and operative settings suggests DEX may have significant advantages over traditional GABAergic sedatives such as benzodiazepines. There has been limited research on the use of DEX in the emergency department (ED). METHODS: We performed a systematic review of the medical literature to identify all published evidence regarding the use of DEX in the ED...
November 30, 2022: Academic Emergency Medicine
https://read.qxmd.com/read/36445097/how-to-effectively-integrate-advanced-practice-providers-into-the-ed-workforce
#4
JOURNAL ARTICLE
Jesse M Pines, D Mark Courtney
No abstract text is available yet for this article.
November 29, 2022: Academic Emergency Medicine
https://read.qxmd.com/read/36445067/reflections-from-a-trauma-bay
#5
JOURNAL ARTICLE
Gabriel A Del Carmen
No abstract text is available yet for this article.
November 29, 2022: Academic Emergency Medicine
https://read.qxmd.com/read/36441016/hot-off-the-press-sedation-or-analgesia-methods-for-reduction-of-anterior-shoulder-dislocation
#6
JOURNAL ARTICLE
Justin Morgenstern, Lauren Westafer, Corey Heitz, William K Milne
No abstract text is available yet for this article.
November 28, 2022: Academic Emergency Medicine
https://read.qxmd.com/read/36420622/diversity-equity-inclusion-justice-are-we-accountable-peter-rosen-memorial-lecture-2022
#7
JOURNAL ARTICLE
Sheryl Heron, Yvette Calderon, Joel Moll, Jason Rotoli, Nicole Franks, Moji Hassan, Douglas Ander, Italo Brown, John Lewis
No abstract text is available yet for this article.
November 24, 2022: Academic Emergency Medicine
https://read.qxmd.com/read/36413084/hot-off-the-press-going-ultrasound-for-small-bowel-obstructions
#8
JOURNAL ARTICLE
Kirsty Challen, Chris Bond, W Ken Milne
No abstract text is available yet for this article.
November 22, 2022: Academic Emergency Medicine
https://read.qxmd.com/read/36413082/on-dying
#9
JOURNAL ARTICLE
Sophia Gorgens
No abstract text is available yet for this article.
November 22, 2022: Academic Emergency Medicine
https://read.qxmd.com/read/36398908/equity-relevant-sociodemographic-variable-collection-in-emergency-medicine-a-systematic-review-qualitative-evidence-synthesis-recommendations-for-practice
#10
REVIEW
Murdoch Leeies
OBJECTIVES: To conduct a systematic review and qualitative evidence synthesis (QES) to identify best practices, benefits, harms, facilitators and barriers to the routine collection of sociodemographic variables in Emergency Departments (EDs). DESIGN: A systematic review and QES. DATA SOURCES: We conducted a comprehensive search of Medline (Ovid), CINAHL (Ebsco), Cochrane Central (OVID), EMBASE (Ovid) and the multidisciplinary Web of Science Core database using peer-reviewed search strategies, complemented by a grey literature search...
November 18, 2022: Academic Emergency Medicine
https://read.qxmd.com/read/36354754/dizziness-as-a-missed-symptom-of-central-nervous-system-pathology-a-review-of-malpractice-cases
#11
JOURNAL ARTICLE
Summer Ghaith, Sandeep S Voleti, Fernanda Bellolio, Jonathan A Edlow, Rachel A Lindor
No abstract text is available yet for this article.
November 10, 2022: Academic Emergency Medicine
https://read.qxmd.com/read/36354309/accuracy-of-tics-ultrasound-protocol-in-detecting-simple-and-complicated-diverticulitis-a-prospective-cohort-study
#12
JOURNAL ARTICLE
Hamid Shokoohi, Lauren Ann Selame, Michael A Loesche, Abdullah Almulhim, Ahad A Al Saud, Andrew Goldsmith, Onyinyechi Eke, Caitlin Springer, Chiara D Arru, Jamie Gullikson, Brenna McKaig, Andrew S Liteplo, Calvin Huang
BACKGROUND: Point-of-care ultrasound (US) has been suggested as the primary imaging in evaluating patients with suspected diverticulitis. Discrimination between simple and complicated diverticulitis may help to expedite emergent surgical consults and determine the risk of complications. This study aimed to: (1) determine the accuracy of an US protocol (TICS) for diagnosing diverticulitis in the Emergency Department (ED) setting and (2) assess the ability of TICS to distinguish between simple and complicated diverticulitis...
November 10, 2022: Academic Emergency Medicine
https://read.qxmd.com/read/36334276/rising-high-acuity-emergency-care-services-independently-billed-by-advanced-practice-providers-2013-to-2019
#13
JOURNAL ARTICLE
Cameron J Gettel, Jeremiah D Schuur, Jay B Mullen, Arjun K Venkatesh
BACKGROUND: Advanced practice providers (APPs) comprise an increasing proportion of the emergency medicine (EM) workforce, particularly in rural geographies. With little known regarding potential expanding practice patterns, we sought to evaluate trends in independent emergency care services billed by APPs from 2013 to 2019. METHODS: We performed a repeated cross-sectional analysis of emergency clinicians independently reimbursed for at least 50 Evaluation & Management (E/M) services [99281-99285, 99291] from Medicare Part B, with high acuity services including codes 99285 and 99291...
November 5, 2022: Academic Emergency Medicine
https://read.qxmd.com/read/36334268/nothing-about-me-without-me-grace-fully-partnering-with-patients-to-derive-clinical-practice-guidelines
#14
JOURNAL ARTICLE
Christopher R Carpenter, David M Morrill, Etta Sundberg, Karen Tartt, Suneel Upadhye
No abstract text is available yet for this article.
November 5, 2022: Academic Emergency Medicine
https://read.qxmd.com/read/36333960/pilot-testing-fentanyl-test-strip-distribution-in-an-emergency-department-setting-experiences-lessons-learned-and-suggestions-from-staff
#15
JOURNAL ARTICLE
Megan K Reed, Venise J Salcedo, TingAnn Hsiao, Tracy Esteves Camacho, Amanda Salvatore, Anne Siegler, Kristin L Rising
OBJECTIVES: Fentanyl test strips (FTS) are increasingly used to address fentanyl contamination of the illicit drug supply by testing a drug for the presence of fentanyl, allowing people who use drugs to engage in overdose prevention. While emergency departments (EDs) have implemented various harm reduction strategies for people who use drugs, to date distribution of FTS in EDs is limited and not evaluated. Thus, we sought to explore ED staff experiences distributing FTS. METHODS: Twenty-one staff serving different roles (e...
November 5, 2022: Academic Emergency Medicine
https://read.qxmd.com/read/36330667/head-computed-tomography-findings-in-geriatric-emergency-department-patients-with-delirium-altered-mental-status-and-confusion-a-systematic-review
#16
REVIEW
Shan W Liu, Sangil Lee, Jane M Hayes, Danya Khoujah, Alexander X Lo, Michelle Doering, Kerstin de Wit, Christian H Nickels, Maura Kennedy, Debra Eagles, Christopher Carpenter, Glenn Arendts, Luna Ragsdale
BACKGROUND: Delirium, altered mental status or confusion among older adults are common presentations to the emergency department (ED). We aimed to report the proportion of older ED patients presenting with delirium who have acute abnormal findings on head imaging. We also assessed whether anticoagulation, neurological deficits, trauma or headache were associated with head imaging abnormalities in these patients. METHODS: A systematic review was performed using Ovid Medline, Embase, Clinicaltrials...
November 4, 2022: Academic Emergency Medicine
https://read.qxmd.com/read/36326565/management-of-atrial-flutter-and-atrial-fibrillation-with-rapid-ventricular-response-in-patients-with-acute-decompensated-heart-failure-a-systematic-review
#17
REVIEW
Joshua D Niforatos, Michael R Ehmann, Kamna S Balhara, Jeremiah S Hinson, Lukas Ramcharran, Katie Lobner, P Logan Weygandt
OBJECTIVE: To evaluate the comparative effectiveness and safety of pharmacological and non-pharmacological management options for Atrial Fibrillation/Atrial Flutter with Rapid Ventricular Response (AFRVR) in patients with Acute Decompensated Heart Failure (ADHF) in the acute care setting. METHODS: A systematic review of observational studies or randomized clinical trials of adult patients with AFRVR and concomitant ADHF in the ED, ICU, or step-down unit. The primary effectiveness outcome was successful rate or rhythm control...
November 3, 2022: Academic Emergency Medicine
https://read.qxmd.com/read/36310412/efficacy-of-repeat-ed-screening-tests-for-children-re-admitted-to-an-inpatient-psychiatric-unit-for-acute-mental-health-emergencies
#18
JOURNAL ARTICLE
Connor Welsh, Adam Lieber, Eric Legome, William Bonadio
No abstract text is available yet for this article.
October 30, 2022: Academic Emergency Medicine
https://read.qxmd.com/read/36310395/perspectives-of-covid-19-vaccine-hesitant-emergency-department-patients-to-inform-messaging-platforms-to-promote-vaccine-uptake
#19
JOURNAL ARTICLE
Alexzandra T Gentsch, Jonathan Butler, Kelli O'Laughlin, Stephanie A Eucker, AnnaMarie Chang, Herbie Duber, Rachel E Geyer, Amanda Guth, Hemal K Kanzaria, Alena Pauley, Kristin L Rising, Cecilia Lara Chavez, Anna Tupetz, Robert M Rodriguez
OBJECTIVES: Efforts to promote COVID-19 vaccine acceptance must consider the critical role of the emergency department (ED) in providing healthcare to underserved patients. Focusing on patients who lacked primary care, we sought to elicit the perspectives of unvaccinated ED patients regarding COVID-19 vaccination concerns and potential approaches that might increase their vaccine acceptance. METHODS: We conducted this qualitative interview study from August to November 2021 at four urban EDs in San Francisco, California; Seattle, Washington; Durham, North Carolina; and Philadelphia, Pennsylvania...
October 30, 2022: Academic Emergency Medicine
https://read.qxmd.com/read/36307998/clinical-tests-to-evaluate-for-elbow-fracture
#20
JOURNAL ARTICLE
Brit Long, Michael Gottlieb
No abstract text is available yet for this article.
October 28, 2022: Academic Emergency Medicine
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