journal
https://read.qxmd.com/read/38530675/early-physician-gestalt-versus-usual-screening-tools-for-the-prediction-of-sepsis-in-critically-ill-emergency-patients
#1
JOURNAL ARTICLE
Sarah K S Knack, Nathaniel Scott, Brian E Driver, Matthew E Prekker, Lauren Page Black, Charlotte Hopson, Ellen Maruggi, Olivia Kaus, Walker Tordsen, Michael A Puskarich
STUDY OBJECTIVE: Compare physician gestalt to existing screening tools for identifying sepsis in the initial minutes of presentation when time-sensitive treatments must be initiated. METHODS: This prospective observational study conducted with consecutive encounter sampling took place in the emergency department (ED) of an academic, urban, safety net hospital between September 2020 and May 2022. The study population included ED patients who were critically ill, excluding traumas, transfers, and self-evident diagnoses...
March 25, 2024: Annals of Emergency Medicine
https://read.qxmd.com/read/38530674/managing-alcohol-withdrawal-syndrome
#2
REVIEW
Michael Gottlieb, Nicholas Chien, Brit Long
No abstract text is available yet for this article.
March 25, 2024: Annals of Emergency Medicine
https://read.qxmd.com/read/38530673/does-the-use-of-sterile-gloves-for-the-repair-of-wounds-and-lacerations-reduce-the-risk-of-infection
#3
EDITORIAL
Giovana Landal De Almeida Lobo, Sangil Lee
No abstract text is available yet for this article.
March 25, 2024: Annals of Emergency Medicine
https://read.qxmd.com/read/38530672/the-value-of-an-emergency-medicine-virtual-observation-unit
#4
JOURNAL ARTICLE
Emily M Hayden, Beth G Grabowski, Ekta B Kishen, Kori S Zachrison, Benjamin A White
STUDY OBJECTIVE: We implemented a virtual observation unit in which emergency department (ED) patients receive observation-level care at home. Our primary aim was to compare this new care model to in-person observation care in terms of brick-and-mortar ED length of stay (inclusive of ED observation unit time) as well as secondarily on inpatient admission and 72-hour return visits (overall and with admission). METHODS: In a retrospective analysis of electronic health record data on ED observation patients from January 1, 2022 to December 29, 2022 from an academic urban ED, we used propensity matching to compare virtual to in-person observation patients on outcomes of interest...
March 25, 2024: Annals of Emergency Medicine
https://read.qxmd.com/read/38530671/what-is-the-efficacy-of-antibiotic-treatment-for-children-diagnosed-with-acute-otitis-media
#5
EDITORIAL
Brooke Lajeunesse, Michael Gottlieb, Brit Long
No abstract text is available yet for this article.
March 25, 2024: Annals of Emergency Medicine
https://read.qxmd.com/read/38493375/coronavirus-disease-2019-infections-among-emergency-health-care-personnel-impact-on-delivery-of-united-states-emergency-medical-care-2020
#6
JOURNAL ARTICLE
Kurt D Weber, William Mower, Anusha Krishnadasan, Nicholas M Mohr, Juan Carlos Montoy, Robert M Rodriguez, Philip A Giordano, Patrick Ten Eyck, Karisa K Harland, Kelli Wallace, Lawrence Clifford McDonald, Preeta K Kutty, Elisabeth M Hesse, David A Talan
STUDY OBJECTIVE: In the early months of the coronavirus disease 2019 (COVID-19) pandemic and before vaccine availability, there were concerns that infected emergency department (ED) health care personnel could present a threat to the delivery of emergency medical care. We examined how the pandemic affected staffing levels and whether COVID-19 positive staff were potentially infectious at work in a cohort of US ED health care personnel in 2020. METHODS: The COVID-19 Evaluation of Risks in Emergency Departments (Project COVERED) project was a multicenter prospective cohort study of US ED health care personnel conducted from May to December 2020...
March 16, 2024: Annals of Emergency Medicine
https://read.qxmd.com/read/38493376/national-institute-on-drug-abuse-clinical-trials-network-meeting-report-managing-patients-exposed-to-xylazine-adulterated-opioids-in-emergency-hospital-and-addiction-care-settings
#7
REVIEW
Jeanmarie Perrone, Rachel Haroz, Joseph D'Orazio, Giacomo Gianotti, Jennifer Love, Matthew Salzman, Margaret Lowenstein, Ashish Thakrar, Stephanie Klipp, Lisa Rae, Megan K Reed, Edward Sisco, Rachel Wightman, Lewis S Nelson
Used as a veterinary sedative and not approved for human use, xylazine has been increasingly linked with opioid overdose deaths in the United States. A growing number of people have been exposed to xylazine in the illicit opioid supply (especially fentanyl) or in other drugs, particularly in some areas of the Northeast. Xylazine is an α-2 adrenergic agonist that decreases sympathetic nervous system activity. When combined with fentanyl or heroin, it is purported to extend the duration of the opioid's sedative effect and to cause dependence and an associated withdrawal syndrome; however, data to support these concerns are limited...
March 15, 2024: Annals of Emergency Medicine
https://read.qxmd.com/read/38483427/geriatric-emergency-medication-safety-recommendations-gems-rx-modified-delphi-development-of-a-high-risk-prescription-list-for-older-emergency-department-patients
#8
JOURNAL ARTICLE
Rachel M Skains, Jennifer L Koehl, Amer Aldeen, Christopher R Carpenter, Cameron J Gettel, Elizabeth M Goldberg, Ula Hwang, Keith E Kocher, Lauren T Southerland, Pawan Goyal, Carl T Berdahl, Arjun K Venkatesh, Michelle P Lin
STUDY OBJECTIVE: Half of emergency department (ED) patients aged 65 years and older are discharged with new prescriptions. Potentially inappropriate prescriptions contribute to adverse drug events. Our objective was to develop an evidence- and consensus-based list of high-risk prescriptions to avoid among older ED patients. METHODS: We performed a modified, 3-round Delphi process that included 10 ED physician experts in geriatrics or quality measurement and 1 pharmacist...
March 12, 2024: Annals of Emergency Medicine
https://read.qxmd.com/read/38483426/harnessing-the-power-of-generative-ai-for-clinical-summaries-perspectives-from-emergency-physicians
#9
JOURNAL ARTICLE
Yuval Barak-Corren, Rebecca Wolf, Ronen Rozenblum, Jessica K Creedon, Susan C Lipsett, Todd W Lyons, Kenneth A Michelson, Kelsey A Miller, Daniel Shapiro, Ben Y Reis, Andrew M Fine
STUDY OBJECTIVE: The workload of clinical documentation contributes to health care costs and professional burnout. The advent of generative artificial intelligence language models presents a promising solution. The perspective of clinicians may contribute to effective and responsible implementation of such tools. This study sought to evaluate 3 uses for generative artificial intelligence for clinical documentation in pediatric emergency medicine, measuring time savings, effort reduction, and physician attitudes and identifying potential risks and barriers...
March 12, 2024: Annals of Emergency Medicine
https://read.qxmd.com/read/38483425/sound-decisions-rethinking-the-role-of-ultrasound-guided-regional-analgesia-in-the-emergency-department
#10
EDITORIAL
Michael Gottlieb, Arun Nagdev
No abstract text is available yet for this article.
March 12, 2024: Annals of Emergency Medicine
https://read.qxmd.com/read/38456868/midline-catheters-are-the-optimal-vascular-access-device-for-managing-septic-shock-in-the-emergency-department
#11
JOURNAL ARTICLE
Alexander Bracey, Michael H Sherman
No abstract text is available yet for this article.
March 7, 2024: Annals of Emergency Medicine
https://read.qxmd.com/read/38456867/peripheral-intravenous-catheters-are-preferable-for-emergency-department-patients-with-septic-shock
#12
JOURNAL ARTICLE
Michael J Waxman, Elissa M Schechter-Perkins
No abstract text is available yet for this article.
March 7, 2024: Annals of Emergency Medicine
https://read.qxmd.com/read/38456866/the-central-venous-catheter-cannot-be-supplanted-when-it-comes-to-septic-shock
#13
JOURNAL ARTICLE
Gregory P Wu, Nana Sefa
No abstract text is available yet for this article.
March 7, 2024: Annals of Emergency Medicine
https://read.qxmd.com/read/38441515/topical-diclofenac-versus-oral-ibuprofen-versus-diclofenac%C3%A2-ibuprofen-for-emergency-department-patients-with-acute-low-back-pain-a-randomized-study
#14
JOURNAL ARTICLE
Nauman Khankhel, Benjamin W Friedman, Jesse Baer, Lucy Lopez, Carmen Feliciano, Sharon Lee, Eddie Irizarry
STUDY OBJECTIVE: Topical nonsteroidal anti-inflammatory drugs (NSAIDs) are useful for a variety of musculoskeletal injuries. It is not known whether topical NSAIDs should be used for patients presenting with acute nonradicular musculoskeletal low back pain. METHODS: We conducted a randomized, placebo-controlled double-blind study in which patients 18 to 69 years of age visiting the emergency department (ED) with acute, nontraumatic, nonradicular, musculoskeletal low back pain were randomized at the time of discharge to treatment with 400 mg oral ibuprofen + placebo topical gel, 1% diclofenac topical gel + oral placebo, or 400 mg ibuprofen + 1% diclofenac topical gel...
March 2, 2024: Annals of Emergency Medicine
https://read.qxmd.com/read/38441514/development-and-validation-of-a-natural-language-processing-model-to-identify-low-risk-pulmonary-embolism-in-real-time-to-facilitate-safe-outpatient-management
#15
JOURNAL ARTICLE
Krunal D Amin, Elizabeth Hope Weissler, William Ratliff, Alexander E Sullivan, Tara A Holder, Cathleen Bury, Samuel Francis, Brent Jason Theiling, Bradley Hintze, Michael Gao, Marshall Nichols, Suresh Balu, William Schuyler Jones, Mark Sendak
STUDY OBJECTIVE: This study aimed to (1) develop and validate a natural language processing model to identify the presence of pulmonary embolism (PE) based on real-time radiology reports and (2) identify low-risk PE patients based on previously validated risk stratification scores using variables extracted from the electronic health record at the time of diagnosis. The combination of these approaches yielded an natural language processing-based clinical decision support tool that can identify patients presenting to the emergency department (ED) with low-risk PE as candidates for outpatient management...
March 2, 2024: Annals of Emergency Medicine
https://read.qxmd.com/read/38430082/reliability-of-a-measure-of-admission-intensity-for-emergency-physicians
#16
JOURNAL ARTICLE
Alexander T Janke, Jonathan J Oskvarek, Mark S Zocchi, Angela G Cai, Ori Litvak, Jesse M Pines, Arjun K Venkatesh
STUDY OBJECTIVE: We assess the stability of a measure of emergency department (ED) admission intensity for value-based care programs designed to reduce variation in ED admission rates. Measure stability is important to accurately assess admission rates across sites and among physicians. METHODS: We sampled data from 358 EDs in 41 states (January 2018 to December 2021), separate from sites where the measure was derived. The measure is the ED admission rate per 100 ED visits for 16 clinical conditions and 535 included International Classification of Disease 10 diagnosis codes...
March 2, 2024: Annals of Emergency Medicine
https://read.qxmd.com/read/38402481/shift-scheduling-and-overnight-work-among-pregnant-emergency-medicine-residents
#17
JOURNAL ARTICLE
Isha Agarwal, Casey Z MacVane
No abstract text is available yet for this article.
February 23, 2024: Annals of Emergency Medicine
https://read.qxmd.com/read/38385911/are-the-hints-and-hints-plus-examinations-accurate-for-identifying-a-central-cause-of-acute-vestibular-syndrome
#18
EDITORIAL
Kyle Smiley, Michael Jay Yoo, Brit Long
No abstract text is available yet for this article.
February 22, 2024: Annals of Emergency Medicine
https://read.qxmd.com/read/38385910/peripheral-nerve-blocks-in-the-preoperative-management-of-hip-fractures-a-systematic-review-and-network-meta-analysis
#19
JOURNAL ARTICLE
Minoru Hayashi, Norio Yamamoto, Naoto Kuroda, Kenichi Kano, Takanori Miura, Yuji Kamimura, Akihiro Shiroshita
STUDY OBJECTIVE: We conducted a systematic review and network meta-analysis to evaluate the comparative efficacy of peripheral nerve block types for preoperative pain management of hip fractures. METHODS: We searched Cochrane, Central Register of Controlled Trials, MEDLINE, EMBASE, ICTRP, ClinicalTrials.gov, and Google Scholar for randomized clinical trials. We included participants aged more than 16 years with hip fractures who received peripheral nerve blocks or analgesics for preoperative pain management...
February 22, 2024: Annals of Emergency Medicine
https://read.qxmd.com/read/38363279/the-4-s-s-of-disaster-management-framework-a-case-study-of-the-2022-pediatric-tripledemic-response-in-a-community-hospital
#20
JOURNAL ARTICLE
Alexandra H Baker, Lois K Lee, Brian E Sard, Sarita Chung
Most children in the United States present to community hospitals for emergency department (ED) care. Those who are acutely ill and require critical care are stabilized and transferred to a tertiary pediatric hospital with intensive care capabilities. During the fall of 2022 "tripledemic," with a marked increase in viral burden, there was a nationwide surge in pediatric ED patient volume. This caused ED crowding and decreased availability of pediatric hospital intensive care beds across the United States. As a result, there was an inability to transfer patients who were critically ill out, and the need for prolonged management increased at the community hospital level...
February 15, 2024: Annals of Emergency Medicine
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