Tag: emergency medicine

1. In trauma patients at risk for hemorrhage, pre-hospital administration of tranexamic acid did not significantly improve 30-day mortality compared to a placebo. 2. 30-day mortality outcomes were higher in the treatment group, when tranexamic acid was administered within 1 hour of injury, when the patient underwent severe shock, or...
Timing of Oral P2Y12 Inhibitor Administration in Non-ST Elevation Acute Coronary Syndrome 1. There does not appear to be any difference in outcome between pre- and post-treatment administration of P2Y12 inhibitors among patients experiencing a non-ST elevation acute coronary syndrome with planned invasive intervention. 2. Prasugrel and ticagrelor showed similar outcomes...
1. A decrease in emergency department visits occurred across five major U.S. healthcare systems in the first four months of COVID-19. 2. An increase in hospital admissions occurred during the early months of COVID-19 across sites. 3. Hospital admission rates were temporally associated with state-level COVID-19 case rates. Evidence Rating Level: 2...
1. In this cluster randomized crossover trial, implementation of a systematic crosschecking program between two emergency physicians significantly reduced the occurrence of adverse events. 2. The reduction in adverse events was mainly due to a significant decrease in near misses. Evidence Rating Level: 1 (Excellent) Study Rundown: Medical errors and adverse events...
Image: PD 1. A shorter course of dexamethasone, when compared to longer duration prednisone/prednisolone treatment for pediatric asthma exacerbation, showed no difference in terms of relapse rate. 2. Dexamethasone had a significantly lower incidence of vomiting when compared to prednisone/prednisolone, both in the Emergency Department and later at home. Evidence Rating Level:...
Image: PD 1. The most rural areas of the country experience 24 more injury-related deaths per 100,000 than the most urban areas. 2. While unintentional deaths were much more common in rural areas, death by suicide did not vary with rurality and death by homicide was more common in urban areas.  Evidence...
Image: PD Neuronal growth cone 1. Emergency providers’ clinical impression was moderately sensitive and specific in identifying drug-seeking behavior, as defined by prescription drug monitoring criteria. 2. In approximately 1 in 10 cases, providers changed their prescription plan for patients after reviewing data from a drug monitoring program. Evidence Rating Level: 2...
Image: PD 1. Medical emergencies occur at a rate of approximately 16 emergencies per one million passengers; the most common of which are syncope, respiratory symptoms, or nausea/vomiting.  2.  Approximately one third of in-flight medical emergencies are resolved entirely before the flight lands.  The death rate of all in-flight medical emergencies...
Image: PD 1. Low oxygen saturation, body temperature, and tachypnea are all strong clinical predictors of pneumonia in febrile children.  2. Including C reactive protein in prediction models significantly improves these models’ ability to predict serious bacterial infection and pneumonia among febrile children. Study Rundown: Fever constitutes the chief complaint in 10-20%...
Image: CC Primer: Uncomplicated soft tissue injuries are one of the most common ailments treated in the emergency department. However, there has been little agreement regarding the proper management of these minor wounds, particularly with regards to use of topical antibiotics. To gather evidence supporting a standard of care for...