December 2014 Briefing - Emergency Medicine

Share this content:

Here are what the editors at HealthDay consider to be the most important developments in Emergency Medicine for December 2014. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

AMA Identifies Top 10 Issues That Affected Docs in 2014

WEDNESDAY, Dec. 31, 2014 (HealthDay News) -- The top 10 issues that affected physicians in 2014 include many regulatory issues relating to Medicare and data release, as well as health issues such as overprescribing of antibiotics and the Ebola crisis, according to a report published by the American Medical Association (AMA).

More Information

Ebola, ACA, VA Scandal Top U.S. Health News for 2014

WEDNESDAY, Dec. 31, 2014 (HealthDay News) -- It started as a deadly but little-known outbreak in West Africa, but the lethal and unchecked spread of the Ebola virus dominated U.S. headlines for much of 2014, making it one of the year's top health news features.

More Information

CDC: Influenza Has Hit Epidemic Status in U.S.

TUESDAY, Dec. 30, 2014 (HealthDay News) -- The flu has reached epidemic levels in the United States, with 15 child mortalities so far this season, the federal Centers for Disease Control and Prevention reported Tuesday.

More Information

Experts Discuss Ethical Considerations in Ebola Care

TUESDAY, Dec. 30, 2014 (HealthDay News) -- Guidance is provided for ethical considerations relating to Ebola care in an ideas and opinions piece published online Dec. 30 in the Annals of Internal Medicine.

Full Text (subscription or payment may be required)

Surgeon General Still Has Important Role to Play

TUESDAY, Dec. 30, 2014 (HealthDay News) -- The Surgeon General has an important role in educating and mobilizing the public and shaping policy on public health issues, according to an ideas and opinions piece published online Dec. 30 in the Annals of Internal Medicine.

Full Text (subscription or payment may be required)

Lean/Six Sigma Advances Pediatric Patient Discharges

TUESDAY, Dec. 30, 2014 (HealthDay News) -- Incorporating Lean/Six Sigma (LSS) practices can advance pediatric patient discharges, according to research published online Dec. 8 in the Journal of Hospital Medicine.

Abstract
Full Text (subscription or payment may be required)

Non-Chest Pain Presentation Doesn't Worsen MI Outcomes

TUESDAY, Dec. 30, 2014 (HealthDay News) -- Among patients with acute ST-elevation myocardial infarction (STEMI), presentation with non-chest pain delays door-to-balloon (DTB) time but does not worsen clinical outcomes, according to research published in the Dec. 15 issue of The American Journal of Cardiology.

Abstract
Full Text (subscription or payment may be required)

Fiber Intake Tied to Reduced Risk of Kidney Stones

TUESDAY, Dec. 30, 2014 (HealthDay News) -- Greater dietary intake of fiber, fruits, and vegetables is associated with a reduced risk of incident kidney stones in postmenopausal women, according to research published in the December issue of The Journal of Urology.

Abstract
Full Text

Adverse Outcomes With Unmet Material Needs in Diabetes

MONDAY, Dec. 29, 2014 (HealthDay News) -- For adults with diabetes mellitus, unmet material needs are associated with poor diabetes control and increased health care resource use, according to a study published online Dec. 29 in JAMA Internal Medicine.

Abstract
Full Text (subscription or payment may be required)

Prevention of Emergency Surgery Saves Lives and Money

MONDAY, Dec. 29, 2014 (HealthDay News) -- Strategies to reduce the number of emergency surgeries in the United States could save up to $1 billion in health care costs over a decade, according to a new study published online Dec. 17 in the Annals of Surgery.

Full Text (subscription or payment may be required)

AAP: Best Practices for Improving ER Flow for Pediatric Patients

MONDAY, Dec. 29, 2014 (HealthDay News) -- Best practices for improved flow and care for pediatric patients in the emergency department are discussed in a technical report published online Dec. 29 in Pediatrics.

Abstract
Full Text

Many Gout Patients Not Receiving Recommended Urate-Lowering Rx

TUESDAY, Dec. 23, 2014 (HealthDay News) -- For patients with incident gout, 44 percent fulfill indications for urate-lowering treatment at initial diagnosis, but many do not receive recommended treatment even years later, according to a research letter published in the Dec. 24/31 issue of the Journal of the American Medical Association.

Full Text (subscription or payment may be required)

Enhanced Medical Home Benefits Children With Chronic Illness

TUESDAY, Dec. 23, 2014 (HealthDay News) -- For high-risk children with chronic illness, an enhanced medical home providing comprehensive care is associated with reductions in serious illnesses and costs, according to a study published in the Dec. 24/31 issue of the Journal of the American Medical Association.

Abstract
Full Text
Editorial

Increased Health Care Use With Concussion Legislation

TUESDAY, Dec. 23, 2014 (HealthDay News) -- Legislation outlining the medical care of children and adolescents with concussion correlates with increased health care utilization rates, according to research published online Dec. 22 in JAMA Pediatrics.

Abstract
Full Text (subscription or payment may be required)

Hospitalization Risk Seen With Clarithromycin + Certain Statins

MONDAY, Dec. 22, 2014 (HealthDay News) -- Combining clarithromycin with certain statins increases the risk of adverse outcomes that can lead to hospitalization or even death, according to a new study published online Dec. 22 in CMAJ, the journal of the Canadian Medical Association.

Abstract
Full Text

FDA Approves Rapivab to Help Treat Influenza in Adults

MONDAY, Dec. 22, 2014 (HealthDay News) -- Rapivab (peramivir) has been approved by the U.S. Food and Drug Administration to treat influenza in adults.

More Information

Tips Offered to Docs, Spouses for Maintaining Happy Marriage

FRIDAY, Dec. 19, 2014 (HealthDay News) -- Simple tips can help physicians and their spouses maintain marital happiness, according to an article published in the American Medical Association (AMA) Alliance magazine Physician Family.

More Information

CDC: Measles Cases at Airport Highlight Ease of Transmission

FRIDAY, Dec. 19, 2014 (HealthDay News) -- Traveling through the same U.S. airport gate, one infected passenger transmitted the measles virus to three others within a four-hour time span, illustrating just how easily the virus can spread. These findings were reported in the Dec. 19 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

More Information

States Ill-Prepared for Ebola, Other Infectious Outbreaks

FRIDAY, Dec. 19, 2014 (HealthDay News) -- Half of U.S. states are poorly prepared to prevent, detect, and respond to infectious disease outbreaks. That was the main conclusion of a report issued jointly by the Trust for America's Health and the Robert Wood Johnson Foundation.

More Information

CDC: Not Too Late, or Too Futile, to Get Flu Vaccine

FRIDAY, Dec. 19, 2014 (HealthDay News) -- The flu is starting to tighten its grip on much of the United States, particularly in the South and Midwest, according to a report published in the Dec. 19 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report. And more than half of the flu infections examined so far have been caused by influenza A H3N2, which appears to have mutated from the H3N2 strain included in this year's flu vaccine.

More Information

Patient Reminders Needed on Inhaler, Epinephrine Use

THURSDAY, Dec. 18, 2014 (HealthDay News) -- Few people know how to use epinephrine injectors and asthma inhalers as directed, according to a new study published in the January issue of the Annals of Allergy, Asthma & Immunology.

Abstract
Full Text

Intraarterial Treatment May Reduce Stroke Disability

THURSDAY, Dec. 18, 2014 (HealthDay News) -- Intraarterial treatment administered within six hours after stroke onset in patients with acute ischemic stroke caused by a proximal intracranial arterial occlusion is safe and improves recovery, researchers report. The findings -- from a trial largely funded by the Dutch Heart Foundation -- were published online Dec. 17 in the New England Journal of Medicine.

Abstract
Full Text
Editorial

Internal Carotid Artery Tear Seen in Child After Roller-Coaster Ride

WEDNESDAY, Dec. 17, 2014 (HealthDay News) -- Frequenting roller-coaster rides may lead to intimal tears within the cervical internal carotid artery (ICA), according to a case report published online Nov. 26 in Pediatric Neurology.

Abstract
Full Text (subscription or payment may be required)

Digital Self-Scheduling Set to Increase Considerably by 2019

WEDNESDAY, Dec. 17, 2014 (HealthDay News) -- Digital self-scheduling is set to increase considerably in the next five years, according to a report published by Accenture.

More Information

Hypoglycemia Ups Cardio Events, Mortality for Insulin-Treated

WEDNESDAY, Dec. 17, 2014 (HealthDay News) -- For insulin-treated patients with type 1 and type 2 diabetes, hypoglycemia is associated with increased risk of cardiovascular events and all-cause mortality, according to a study published online Dec. 9 in Diabetes Care.

Abstract
Full Text (subscription or payment may be required)

Hospital Staff Say 'Crisis Mode' Obstructs Communication

WEDNESDAY, Dec. 17, 2014 (HealthDay News) -- Staff members who perceive a work climate of crisis mode in their hospital units say that it leads to problems in exchanging patient information, according to research published online Dec. 10 in the Journal of Hospital Medicine.

Abstract
Full Text (subscription or payment may be required)

An Estimated 2,000 ER Visits Due to Indoor Tanning in 2012

TUESDAY, Dec. 16, 2014 (HealthDay News) -- The first national estimates of indoor tanning-related injuries treated in U.S. hospital emergency departments have been calculated, according to the authors of a research letter published online Dec. 15 in JAMA Internal Medicine.

Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Physicians Reminded of Ethical Obligations Regarding Torture

TUESDAY, Dec. 16, 2014 (HealthDay News) -- With the issuing of the new U.S. Senate report on interrogations, the American Medical Association (AMA) is reminding physicians of their ethical obligations relating to torture and interrogation.

News Release
AMA Statement

Direct Oral Anticoagulants Have Distinct Bleeding Profiles

TUESDAY, Dec. 16, 2014 (HealthDay News) -- Direct oral anticoagulants (DOACs) have distinct bleeding profiles and require individualized management approaches, according to a state-of-the-art review published in the December issue of JACC: Cardiovascular Interventions.

Full Text (subscription or payment may be required)

Public Disclosure of Antibiotic Harms Cuts Prescription Rates

TUESDAY, Dec. 16, 2014 (HealthDay News) -- Public disclosure of the potential harms of antibiotic use is associated with a reduction in antibiotic prescription rates for upper respiratory tract infection (URTI), according to a research letter published online Dec. 15 in JAMA Internal Medicine.

Full Text (subscription or payment may be required)

Consider False-Positives When Test Results Don't Add Up

TUESDAY, Dec. 16, 2014 (HealthDay News) -- Physicians should weigh patient history and include the possibility of false-positive test results when considering differential diagnoses, according to a perspective piece published online Dec. 15 in JAMA Internal Medicine.

Full Text (subscription or payment may be required)

Support for Electronic Health Information Varies With Use

TUESDAY, Dec. 16, 2014 (HealthDay News) -- Consent and purpose are important for public support of secondary uses of electronic health information, according to a study published in the Dec. 16 issue of the Annals of Internal Medicine.

Full Text (subscription or payment may be required)
Ideas and Opinions (subscription or payment may be required)
Editorial (subscription or payment may be required)

Methylphenidate Use Tied to Fewer Injuries in Kids With ADHD

MONDAY, Dec. 15, 2014 (HealthDay News) -- Taking medication for attention-deficit/hyperactivity disorder (ADHD) might reduce the risk of young patients accidentally injuring themselves, new research suggests. The findings, published online Dec. 15 in Pediatrics, applied to both girls and boys.

Abstract
Full Text

Physicians Should Scrutinize Job Offers Before Accepting

MONDAY, Dec. 15, 2014 (HealthDay News) -- Physicians should scrutinize job offers and pay attention to specific issues before accepting a job, according to an article published Dec. 3 in Medical Economics.

More Information

Webcast Scheduled to Discuss Maintenance of Certification

MONDAY, Dec. 15, 2014 (HealthDay News) -- New data relating to Maintenance of Certification (MOC) will be discussed in a free webcast to be held Dec. 17 by the Journal of the American Medical Association (JAMA).

More Information

FDA: Ziprasidone Can Cause Rare, Serious Adverse Drug Reaction

FRIDAY, Dec. 12, 2014 (HealthDay News) -- The antipsychotic medicine ziprasidone (Geodon) and generic versions of the drug can cause a rare, serious skin reaction that can progress to affect other parts of the body, the U.S. Food and Drug Administration says.

FDA MedWatch
More Information

More Students Enrolling in U.S. Medical Schools

WEDNESDAY, Dec. 10, 2014 (HealthDay News) -- More students are enrolling in medical schools, and enrollees are more diverse than before, according to a report from the Association of American Medical Colleges (AAMC) published by the American Medical Association (AMA).

More Information

More Docs, Patients Not Speaking Same Language

WEDNESDAY, Dec. 10, 2014 (HealthDay News) -- People applying to become medical residents in the United States speak a wide range of non-English languages, but many aren't the languages spoken by patients with limited English skills, according to a research letter published in the Dec. 10 issue of the Journal of the American Medical Association, a theme issue on medical education.

Full Text (subscription or payment may be required)

Work-Hour Restrictions Have Not Improved Outcomes

TUESDAY, Dec. 9, 2014 (HealthDay News) -- Reducing medical residents' work hours hasn't improved mortality rates, hospital readmission rates, or outcomes of surgery, according to two new studies published in the Dec. 10 issue of the Journal of the American Medical Association, a theme issue on medical education.

Abstract - Patel
Full Text
Abstract - Bilimoria
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Docs Trained in High-Cost Areas Practice More Costly Medicine

TUESDAY, Dec. 9, 2014 (HealthDay News) -- Doctors who were trained in high-cost areas of the United States may be more likely to practice expensive medicine, a new study suggests; however, that effect gradually decreases over time. The study was published in the Dec. 10 issue of the Journal of the American Medical Association, a theme issue on medical education.

Abstract
Full Text (subscription or payment may be required)

Resource Use Up With Supervised Visits in Emergency Room

TUESDAY, Dec. 9, 2014 (HealthDay News) -- Resource use is increased for supervised visits, involving both resident and attending physicians, in the emergency department, according to a study published in the Dec. 10 issue of the Journal of the American Medical Association, a theme issue on medical education.

Abstract
Full Text (subscription or payment may be required)

Tramadol Use May Up Risk of Hospitalization for Hypoglycemia

TUESDAY, Dec. 9, 2014 (HealthDay News) -- Tramadol use is associated with an increased risk of hypoglycemia requiring hospitalization, especially in the first 30 days of use, according to a study published online Dec. 8 in JAMA Internal Medicine.

Abstract
Full Text
Editorial (subscription or payment may be required)

Hard Hit to Chest Triggered A-Fib in Teen Football Player

MONDAY, Dec. 8, 2014 (HealthDay News) -- A hard hit to the chest during a football game resulted in three days of an irregular heart rhythm for a 16-year-old player, researchers report in a new case study.

Abstract
Full Text (subscription or payment may be required)

Vigorous Back Massage Can Cause Spinal Injury

FRIDAY, Dec. 5, 2014 (HealthDay News) -- Traumatic spinal subdural hematoma can occur after vigorous back massage, according to a case study published in the Dec. 1 issue of Spine.

Full Text (subscription or payment may be required)

CT Scans Post-TIA Yield Clues to Future Stroke Risk

FRIDAY, Dec. 5, 2014 (HealthDay News) -- A computed tomography (CT) scan shortly after a transient ischemic attack can help identify patients at risk of suffering another stroke within three months, new research suggests. The study was published online Dec. 4 in Stroke.

Abstract
Full Text (subscription or payment may be required)

CDC: California Infants Hit Hard by Pertussis Epidemic

FRIDAY, Dec. 5, 2014 (HealthDay News) -- In what state health officials are calling the worst outbreak in 70 years, 9,935 cases of pertussis were diagnosed between Jan. 1 and Nov. 26. That translated into 26 cases per 100,000 people, according to research published in the Dec. 5 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

Full Text

CDC: Flu Vaccine May Offer Less Protection This Winter

FRIDAY, Dec. 5, 2014 (HealthDay News) -- The H3N2 strain of influenza appears to be circulating most widely this season, and in the past, death rates from H3N2 have been more than double that of other flu strains, according to officials from the U.S. Centers for Disease Control and Prevention. In addition, about half of the H3N2 viruses detected by CDC researchers so far appear to have mutated, and have genetically "drifted" away from the virus strain included in this year's flu vaccine.

More Information

AMA: Social Determinants of Health to Be Taught in Med School

THURSDAY, Dec. 4, 2014 (HealthDay News) -- A new policy implemented by the American Medical Association (AMA) supports integrating more training on the social determinants of health into undergraduate medical education, according to a report published by the AMA.

More Information

CDC: 35 Ebola Treatment Centers Designated

WEDNESDAY, Dec. 3, 2014 (HealthDay News) -- Thirty-five hospitals across the United States have been designated as Ebola treatment centers, and more will be designated in the coming weeks, the U.S. Centers for Disease Control and Prevention said Tuesday.

More Information

Parents May Need Reminders on Toddler Safety

TUESDAY, Dec. 2, 2014 (HealthDay News) -- Toddlers seen in the emergency department after falls at home are more likely to have parents who do not use safety gates or teach their children not to climb onto kitchen counters or furniture, according to a new study published online Dec. 1 in JAMA Pediatrics.

Abstract
Full Text (subscription or payment may be required)

CDC: Fatal Overdoses From Rx Opioids Have Tripled in U.S.

TUESDAY, Dec. 2, 2014 (HealthDay News) -- Fatal overdoses involving opioid analgesics have tripled over the past decade, a new report shows. Deaths from heroin also nearly tripled between 1999 and 2012, according to the report released Tuesday by the U.S. Centers for Disease Control and Prevention.

More Information

Safety of Epinephrine in Cardiac Arrest Questioned

TUESDAY, Dec. 2, 2014 (HealthDay News) -- Four out of five people who receive epinephrine to restart their heart end up suffering significant damage to brain function, and the risk increases with the dose. These findings were published in the Dec. 9 issue of the Journal of the American College of Cardiology.

Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Health Information Exchanges May Cut ER Use, Costs

TUESDAY, Dec. 2, 2014 (HealthDay News) -- Health information exchanges (HIEs) are valuable for providers and patients, and their use may reduce emergency department usage and costs, according to a review published in the Dec. 2 issue of the Annals of Internal Medicine.

Full Text (subscription or payment may be required)

Too Much Patient Care Tied to Faculty Members' Intent to Leave

TUESDAY, Dec. 2, 2014 (HealthDay News) -- Spending "far too much/too much" time/effort on patient care is associated with increased intent to leave the institution, according to research published in Academic Medicine.

Full Text

Doctor Discusses Ways to Keep Morale in Medicine High

MONDAY, Dec. 1, 2014 (HealthDay News) -- Despite the many frustrations for doctors in medical practice, there are ways to keep morale high, according to an article published Nov. 20 in Medical Economics.

More Information

Many Physicians Report Their Incomes Have Plateaued

MONDAY, Dec. 1, 2014 (HealthDay News) -- Many physicians report that their personal income has not changed since last year, according to the results of the Physicians Practice 2014 Physicians Compensation Survey.

More Information

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Drug Lookup

Browse drugs by: BrandGenericDisease

Trending Activities

All Professions



Sign up for myCME e-newsletters




More in Home

FDA Approves Palynziq for Phenylketonuria

FDA Approves Palynziq for Phenylketonuria

Drug is a novel enzyme therapy for adult patients with PKU with uncontrolled blood Phe concentrations

Increase in Tx Candidates With 2017 Hypertension Guidelines

Increase in Tx Candidates With 2017 Hypertension Guidelines

Increase in proportion of adults recommended for treatment; estimated decrease in CVD events, deaths