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LLSA 2014

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12 papers 25 to 100 followers
By Sean Fox Adult and Pediatric Emergency Medicine Physician, Associate Professor
David Szpilman, Joost J L M Bierens, Anthony J Handley, James P Orlowski
No abstract text is available yet for this article.
May 31, 2012: New England Journal of Medicine
Lynsey Flowerdew, Ruth Brown, Charles Vincent, Maria Woloshynowych
STUDY OBJECTIVE: Understanding the nontechnical skills specifically applicable to the emergency department (ED) is essential to facilitate training and more broadly consider interventions to reduce error. The aim of this scoping review is to first identify and then explore in depth the nontechnical skills linked to safety in the ED. METHODS: The review was conducted in 2 stages. In stage 1, online databases were searched for published empirical studies linking nontechnical skills to safety and performance in the ED...
May 2012: Annals of Emergency Medicine
F Douglas Srygley, Charles J Gerardo, Tony Tran, Deborah A Fisher
CONTEXT: Emergency physicians must determine both the location and the severity of acute gastrointestinal bleeding (GIB) to optimize the diagnostic and therapeutic approaches. OBJECTIVES: To identify the historical features, symptoms, signs, bedside maneuvers, and basic laboratory test results that distinguish acute upper GIB (UGIB) from acute lower GIB (LGIB) and to risk stratify those patients with a UGIB least likely to have severe bleeding that necessitates an urgent intervention...
March 14, 2012: JAMA: the Journal of the American Medical Association
Larry B Mellick
In this review, long-held myths and misperceptions about the evaluation and management of testicular torsion are discussed, and recommendations for the management of patients who present with acute scrotal pain are presented.
January 2012: Pediatric Emergency Care
Scott D Weingart, Richard M Levitan
Patients requiring emergency airway management are at great risk of hypoxemic hypoxia because of primary lung pathology, high metabolic demands, anemia, insufficient respiratory drive, and inability to protect their airway against aspiration. Tracheal intubation is often required before the complete information needed to assess the risk of periprocedural hypoxia is acquired, such as an arterial blood gas level, hemoglobin value, or even a chest radiograph. This article reviews preoxygenation and peri-intubation oxygenation techniques to minimize the risk of critical hypoxia and introduces a risk-stratification approach to emergency tracheal intubation...
March 2012: Annals of Emergency Medicine
Judith A Linden
No abstract text is available yet for this article.
September 1, 2011: New England Journal of Medicine
Jeffrey J Perry, Ian G Stiell, Marco L A Sivilotti, Michael J Bullard, Marcel Emond, Cheryl Symington, Jane Sutherland, Andrew Worster, Corinne Hohl, Jacques S Lee, Mary A Eisenhauer, Melodie Mortensen, Duncan Mackey, Merril Pauls, Howard Lesiuk, George A Wells
OBJECTIVE: To measure the sensitivity of modern third generation computed tomography in emergency patients being evaluated for possible subarachnoid haemorrhage, especially when carried out within six hours of headache onset. DESIGN: Prospective cohort study. SETTING: 11 tertiary care emergency departments across Canada, 2000-9. PARTICIPANTS: Neurologically intact adults with a new acute headache peaking in intensity within one hour of onset in whom a computed tomography was ordered by the treating physician to rule out subarachnoid haemorrhage...
July 18, 2011: BMJ: British Medical Journal
Ross Zafonte
Concussion in youth athletes is a growing problem worldwide. During the past decade, significant progress has been made in standardization of the assessment of young athletes, and a growing appreciation of metabolic vulnerability, activity, and cognitive challenges has led to guidelines and suggestions for rest from the field as well as cognitive rest from school. Outcome data have begun to establish groups linked to symptom class, genetics, and sex who are at risk of worse outcomes from concussions. Decisions regarding return to activity are now based on at-rest symptoms, graded increases in activity, and neuropsychological testing...
July 6, 2011: JAMA: the Journal of the American Medical Association
Dion Stub, Stephen Bernard, Stephen J Duffy, David M Kaye
No abstract text is available yet for this article.
April 5, 2011: Circulation
Deborah B Diercks, Abhishek Mehrotra, Devorah J Nazarian, Susan B Promes, Wyatt W Decker, Francis M Fesmire
This clinical policy from the American College of Emergency Physicians is an update of the 2004 clinical policy on the critical issues in the evaluation of adult patients presenting to the emergency department with acute blunt abdominal trauma. A writing subcommittee reviewed the literature as part of the process to develop evidence-based recommendations to address 4 key critical questions: (1) In a hemodynamically unstable patient with blunt abdominal trauma, is ultrasound the diagnostic modality of choice? (2) Does oral contrast improve the diagnostic performance of computed tomography (CT) in blunt abdominal trauma? (3) In a clinically stable patient with isolated blunt abdominal trauma, is it safe to discharge the patient after a negative abdominal CT scan result? (4) In patients with isolated blunt abdominal trauma, are there clinical predictors that allow the clinician to identify patients at low risk for adverse events who do not need an abdominal CT? Evidence was graded and recommendations were based on the available data in the medical literature related to the specific clinical question...
April 2011: Annals of Emergency Medicine
Brigitte M Baumann, Esther H Chen, Angela M Mills, Lindsey Glaspey, Nicole M Thompson, Molly K Jones, Michael C Farner
STUDY OBJECTIVE: We describe patient perceptions of computed tomography (CT) and their understanding of radiation exposure and risk. METHODS: This was a cross-sectional study of acute abdominal pain patients aged 18 years or older. Confidence in medical evaluations with increasing levels of laboratory testing and imaging was rated on a 100-point visual analog scale. Knowledge of radiation exposure was ascertained when participants compared the radiation dose of one abdomen-pelvis CT with 2-view chest radiography...
July 2011: Annals of Emergency Medicine
John Kattwinkel, Jeffrey M Perlman, Khalid Aziz, Christopher Colby, Karen Fairchild, John Gallagher, Mary Fran Hazinski, Louis P Halamek, Praveen Kumar, George Little, Jane E McGowan, Barbara Nightengale, Mildred M Ramirez, Steven Ringer, Wendy M Simon, Gary M Weiner, Myra Wyckoff, Jeanette Zaichkin
No abstract text is available yet for this article.
November 2, 2010: Circulation
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