Am J Health Syst Pharm. Isopropyl alcohol nasal inhalation for nausea in the triage of an adult emergency departmentA randomized, double-blind, placebo-controlled trial assessed the efficacy of isopropyl alcohol (IPA) to patients who presented to triage in the ED with the chief complaint of isolated nausea and vomiting. With this in mind, the authors recommend to admit patients with neonatal mastitis to the hospital. The objective was to identify the most important and impactful peer-reviewed global emergency medicine (GEM) articles published in 2021. Bochner et al. Critical Care 2021 25 :316. Review Published on: 31 August 2021. Indeed, the fear of litigation remains among one of the largest and perpetually growing concerns for medical professionals in all practice areas. No significant differences were seen in the two groups based on patient and parent satisfaction and complications. In this study, 58.4% of patients on ventilation received lung-protective ventilation in the ED (defined as tidal volume 8mL/kg predicted body weight) and were less likely to suffer from ARDS (aOR, 0.87; 95% CI, 0.81-0.92) or in-hospital death (aOR, 0.91; 95% CI, 0.84-0.96). Sodium levels depended on initial electrolyte balance, degree of dehydration, and osmolality of IV fluids. This may help us fine tune how we approach DKA IV fluid replacement in future. These patients do not need a lumbar puncture. One significant limitation of this study is that it was stopped early due to COVID, causing it to be underpowered, with n = 157. Regional anesthesia on the finger: traditional dorsal digital nerve block versus subcutaneous volar nerve block, a randomized controlled trialA prospective, multicenter, RCT of 409 ED patients compared the subcutaneous volar nerve block vs. the traditional dorsal digital nerve block. 2022 Society for Academic Emergency Medicine. 44(8):19 . In this study, 1,152 STEMI and 2,353 non-STEMI patients were evaluated. For the diagnosis of acute heart failure, POCUS had a sensitivity of 92.5% and a specificity of 85.7% vs. chest x-ray with a sensitivity of 63.6% and specificity of 92.9%. Prospective Validation of Canadian TIA Score and Comparison with ABCD2 and ABCD2i for subsequent stroke risk after transient ischemic attack: multicenter prospective cohort studyThis prospective multicenter cohort study was designed to validate the Canadian TIA Score for patients needing risk stratification for future adverse neurologic events. Epub 2021 Sep 27. Therein lies the value of emergency medicine (EM)"the medical specialty dedicated to the diagnosis and treatment of unforeseen illness or injury, according to the American College of Emergency Physicians (ACEP). Spinella et al sought to expand on the impact of antifibrinolytic effect on mortality using a secondary prospective cohort analysis of 449 patients with life threatening bleeds under the age of 18. Annals publishes original research, clinical . sharing sensitive information, make sure youre on a federal Title and abstract screening was performed by trained reviewers and editors to identify articles in one of three categories based on predefined criteria: disaster and humanitarian response (DHR), emergency care in resource-limited settings (ECRLS), and emergency medicine development (EMD). Partnered medication review and charting between the pharmacist and medical officer in the Emergency Short Stay and General Medicine Unit (AustralasEmerg Nurs J 2015) The effect of pharmacist-led medication review in high-risk patients in the emergency department: an evaluation protocol (CMAJ Open 2015) Impact of clinical pharmacists in the . These twelve vibrant and capable physicians gathered in Lexington three years ago from across the US with the common goal of experiencing the best emergency medical training the Bluegrass State has to offer. The site is secure. Bookshelf BMC Emergency Medicine 2022 22 :147. An Evidence-Based Guide to Best Practices for Diversity, Equity, and Inclusion from the Council of Residency Directors in Emergency Medicine, Dayle Davenport, Al'ai Alvarez, . Before Objective: The UCLA Harbor Medical Center provides the top-rated emergency residency program through its rigorous curriculum. Oct 7, 2022 | Cardiology Emergency Medicine Hospital Medicine No Benefit of Targeted Temperature Management for In-Hospital Cardiac Arrest Mark S. Link, MD, reviewing Wolfrum S et al. J Crit Care. Napa Valley, California. Global Emergency Medicine: A Review of the Literature from 2018. Would you like email updates of new search results? Emerging and Reemerging Infectious Diseases . The EMRA Research Committee has compiled a quick review of some of the most practice-affirming or practice-changing papers published from September 2020 to September 2021. Ghana Emergency Medicine Collaborative Training Program sharing sensitive information, make sure youre on a federal Insurance carriers are getting up to speed and offering more coverage for telehealth in 2021. 2021 Jan;28(1):117-128. doi: 10.1111/acem.14107. 10.1542/peds.147.3MA4.340. JAMA Intern Med. cardiologists, computers, electrocardiogram, pediatric emergency medicine . The at home group had cost saving benefits. - Volume 2021 - Article ID 2112629 Infants 22-28 days, one of the main changes in the guidelines, are to receive basic labs including blood and urine cultures as well as procalcitonin and CRP. Bethesda, MD 20894, Web Policies A close second is bachelor's degree with 32% and rounding it off is master's degree with 11%. Original research Published on: 17 October 2022. Emergency Medicine Conferences 2022/2023/2024 lists relevant events for national/international researchers, scientists . Depression ranks first among psychiatric disorders that dominate the global burden of disease, posing a substantial personal strain and economic drain on nations. In the original study, a group of children suffering from DKA were randomized into 4 groups: 0.45% or 0.9% Normal saline either at a starting rate of 10 mL/kg or 20 mL/kg. Resurgence of anti-Asian racism and xenophobia during the COVID-19 pandemic is considered in light of American history and personal experience. #1. Availability - Android and iOS Price - Free. Disclaimer, National Library of Medicine PMC The https:// ensures that you are connecting to the Here are some of the best emergency medicine textbooks available in the market. Covering all activities concerned with emergency medicine, it is the journal to turn to for information to help increase the ability to understand, recognize and treat emergency conditions. Pharmacist authors of emergency medicine organization work products pertaining to pharmacotherapy. Effects of Fluoroquinolones on Outcomes of Patients With Aortic Dissection or AneurysmThis was a retrospective cohort study that compared patients who were diagnosed with aortic aneurysms or aortic dissections and their mortality risk after fluoroquinolone exposure. doi: 10.1097/CCE.0000000000000590. The 15 good emergency medicine residency programs in 2022 are 1.Denver Health Medical Center. 1 At least 30 drugs are Food and. When is the 2021 ABEM initial certification exam? Ann Clin Lab Sci. Objective: To identify the most important and impactful peer-reviewed global emergency medicine (GEM) articles published in 2021. Federal government websites often end in .gov or .mil. There is no imaginable reality where accidents and emergencies cease to exist. Evaluation of fever in infantsWe covered this article here. Follow up in buckle fractures of the radiusRadial buckle fractures are the most common fractures seen in children, and removable splint seems to be adequate. The results demonstrated that antibiotics have comparable outcomes to surgery for acute appendicitis etiologies, with the exception of patients with an appendicolith who had higher rates of complications in the antibiotic group. Should We Use Steroids for Pediatric Bells Palsy? Antifibrinolytics for hemorrhageAlthough children do not experience life threatening bleeds as often as adults, the mortality is still very high for severe bleeds. Emergency medicine encompasses planning, oversight, and medical direction for community emergency medical response, medical control, and disaster preparedness." However, although this. Tranexamic Acid During Prehospital Transport in Patients at Risk for Hemorrhage After Injury: A Double-blind, Placebo-Controlled, Randomized Clinical TrialPragmatic, phase 3, multicenter, double-blind, placebo-controlled, superiority randomized trial which assessed clinical outcomes among 6559 patients at risk for hemorrhage who received prehospital tranexamic acid (single dose). Online, Spoon FeedA transfusion threshold of 20 ml/kg of any blood product during the first hour of pediatric trauma resuscitation maximizes sensitivity and specificity for in-hospital mortality, need for intervention, and additional bleeding episodes and may identify children in need of massive transfusion. The trend is likely to continue as patients and providers get used to the new technology and realize its benefits. Severe Covid-19 Risk FactorsFew studies exist on predictors of severe COVID-19 disease in the pediatric population. The highest odds ratios of invasive HSV disease were associated with vesicular rash (55 OR, 17-181 95%CI) , age < 14 days (9 OR, 3.4 25 95% CI), age between 14 28 days (6.4 OR, 2.3 18 95% CI), and seizures (6.1 OR, 2.3-16 95% CI). CME credit often is available for reading AMA Journal of Ethics articles. Risk Factors and Outcomes After a Brief Resolved Unexplained Event: A Multicenter StudyTo evaluate whether current American Academy of Pediatrics risk criteria predict BRUE outcomes, a multicenter retrospective cohort study assessed more than 2,000 infants less than 1 year of age who presented with a suspected BRUE without a probable alternative or definite diagnosis. Each medical minute is recorded in a real emergency department, by the emergency physician or clinical pharmacist on duty. The 2021 LLSA Study Guide includes all of the resources you need to prep for the ABEM LLSA exam: a full reprint of every article on the 2021 LLSA reading list; a review of each article, with key points identified for efficient exam prep . I write about clinical medicine, innovation in healthcare, and health policy. 2021 Emergency Medicine Residents' Association | Privacy Policy | Website Links Policy | Social Media Policy, Critical Care Research Database - 2015 Edition Federal government websites often end in .gov or .mil. NCI CPTC Antibody Characterization Program. The top 5% of articles overall and the top 5% of articles from each category (DHR, ECRLS, EMD, OR, and RE) were included for narrative summary. Follow . Emergency medicine resident perspectives on well-being during COVID-19: a qualitative study. As the Covid-19 coronavirus pandemic quickly gained traction in early 2020, first-responders and those on the front-lines of the battle against the virus were celebrated as healthcare heroes. Ironically, however, market forces refused to convey the same enthusiasm: the job market for EM physicians had never been worse. Emergency medicine provides a unique opportunity to be involved in patient care at significant junctureswhether that entails routine non-emergent complaints, or traumatic injuries requiring immediate stabilization and treatment. 2007;14:1190-1193. A modified Delphi approach was utilized for selected journals to identify the most impactful EM pharmacotherapy studies via the GRADE system. Summary of the guidelines for EM-bound students: Complete 1 - and only 1 - EM rotation at an EM residency . Abx in CAPWe recently covered CAP-IT here. Cardiac Emergencies. In severe disease, lower dose and shorter duration was inferior (17.3% vs 13.5%; 15.2% vs 11.3%). Original research. International emergency medicine: a review of the literature from 2008. POCUS involved the RUPTURE exam (Right Upper and Pelvis Timley Ultrasound for Ruptured Ectopic) to evaluate for an intrauterine pregnancy and abdominal free fluid.
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