June 2017 Briefing - Emergency Medicine

Share this content:

Here are what the editors at HealthDay consider to be the most important developments in Emergency Medicine for June 2017. 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.

Clindamycin, TMP-SMX Linked to Better Outcomes for Abscesses

FRIDAY, June 30, 2017 (HealthDay News) -- For small skin abscesses, treatment with clindamycin or trimethoprim-sulfamethoxazole (TMP-SMX) is associated with improved short-term outcomes versus incision and drainage alone, according to a study published online June 28 in the New England Journal of Medicine.

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

Health of the Nation Presented in 40th Annual CDC Report

THURSDAY, June 29, 2017 (HealthDay News) -- The health of the United States is summarized in the 40th annual report published by the U.S. Centers for Disease Control and Prevention.

More Information

Doctors Urged to Take Care With Electronic Communications

THURSDAY, June 29, 2017 (HealthDay News) -- Care should be taken when conveying electronic messages to patients, according to a report published by the American Medical Association (AMA).

More Information

ACA Health Insurance Expansion Tied to Fewer Cardiac Arrests

THURSDAY, June 29, 2017 (HealthDay News) -- A dramatic decrease in cardiac arrest has occurred among Oregon residents who gained access to health insurance through the Affordable Care Act (ACA), according to a study published online June 28 in the Journal of the American Heart Association.

Abstract/Full Text

Rx Changes, Counseling, Regular Visits Can Cut Opioid Deaths

WEDNESDAY, June 28, 2017 (HealthDay News) -- Three simple steps could decrease opioid-related mortality by about a third, according to a report published online June 26 in Drug and Alcohol Dependence.

Abstract
Full Text (subscription or payment may be required)

FDA Seeks to Increase Number of Generic Drugs on Market

WEDNESDAY, June 28, 2017 (HealthDay News) -- New measures to increase the number of generic prescription drugs available to Americans have been taken by the U.S. Food and Drug Administration.

More Information

Shift Work May Affect the Body's Ability to Repair DNA Damage

TUESDAY, June 27, 2017 (HealthDay News) -- Capacity to repair everyday damage to cell DNA could be impaired in people who work the night shift, which may be due to melatonin suppression, according to a study published online June 26 in Occupational & Environmental Medicine.

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

Many Adverse Events Related to Cosmetics Go Unreported

TUESDAY, June 27, 2017 (HealthDay News) -- Health problems related to cosmetics are underreported, according to a study published online June 26 in JAMA Internal Medicine.

Abstract/Full Text
Editorial

Use of ICD Codes Only Can Underestimate Falls in ER

TUESDAY, June 27, 2017 (HealthDay News) -- Identifying individuals in the emergency department who have fallen based on diagnosis codes alone underestimates the rate of falls, according to research published online June 21 in the Journal of the American Geriatrics Society.

Abstract
Full Text (subscription or payment may be required)

More Racial Disparity With Medicare Advantage

MONDAY, June 26, 2017 (HealthDay News) -- Medicare Advantage is associated with more racial disparity than traditional Medicare for hospital readmissions, according to a study published online June 21 in Health Affairs.

Abstract
Full Text

SAMHSA: Youth Binge Drinking Rates Down in the United States

FRIDAY, June 23, 2017 (HealthDay News) -- Fewer U.S. teens and young adults are binge drinking, but numbers are still too high, according to a report published by the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA).

More Information

Ob-Gyns Can Help ID Sex Workers, Improve Access to Care

FRIDAY, June 23, 2017 (HealthDay News) -- Obstetrician-gynecologists can help improve recognition of sex workers and increase their access to preventive care, according to a Committee Opinion published in the July issue of Obstetrics & Gynecology.

Abstract/Full Text

Primary Care Pharmacy Model Attractive to Patients

FRIDAY, June 23, 2017 (HealthDay News) -- Patients express preference for a pharmacy-driven model of primary care versus a pharmacy offering minimal primary care services, according to a study published online June 18 in the Journal of Clinical Pharmacy and Therapeutics.

Abstract
Full Text (subscription or payment may be required)

Drug, Herb Interactions Frequent for Cancer Patients

FRIDAY, June 23, 2017 (HealthDay News) -- Patients with cancer frequently have herb-drug interactions (HDI) and drug-drug interactions (DDI), some of which have clinical consequences, according to research published online June 19 in the Journal of Oncology Practice.

Abstract
Full Text (subscription or payment may be required)

1991-2014 Saw Minimal Change in Health Spending Per State

THURSDAY, June 22, 2017 (HealthDay News) -- From 1991 to 2014 there was minimal change in health spending by state, according to a study published online June 14 in Health Affairs.

Abstract
Full Text (subscription or payment may be required)

Opioid Rx Too Often Given to Back Pain Patients With Depression

THURSDAY, June 22, 2017 (HealthDay News) -- Patients with low back pain who are depressed are more likely to be prescribed opioids, and to be prescribed higher doses, according to a study published online June 20 in PAIN Reports.

More Information

Patient-Controlled Analgesia Reduces Pain at Higher Cost

THURSDAY, June 22, 2017 (HealthDay News) -- For patients presenting to the emergency department in pain, who are subsequently admitted to the hospital, the cost per hour in moderate or severe pain averted is higher for patient-controlled analgesia versus standard care, according to a study published online May 26 in Anaesthesia.

Abstract
Full Text (subscription or payment may be required)

2006 to 2013 Saw Increase in ER Use for Herpes Zoster

THURSDAY, June 22, 2017 (HealthDay News) -- From 2006 to 2013 there was an increase in the number of emergency department visits for herpes zoster (HZ), according to a study published online June 21 in JAMA Dermatology.

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

Revisits After Discharge From Observation Up in Elderly

THURSDAY, June 22, 2017 (HealthDay News) -- For Medicare beneficiaries age 65 years and older, hospital revisits frequently occur after discharge from observation stays, and have increased over time, according to a study published online June 20 in The BMJ.

Abstract/Full Text

Nearly 60 Percent With Conjunctivitis Fill Antibiotic Rx

THURSDAY, June 22, 2017 (HealthDay News) -- Antibiotic prescriptions are filled by nearly 60 percent of patients newly diagnosed with acute conjunctivitis, according to a study published online June 14 in Ophthalmology.

Abstract
Full Text

Sharp Rise Among Women for Opioid-Related Hospitalizations

WEDNESDAY, June 21, 2017 (HealthDay News) -- Opioid-related hospitalizations among women in the United States increased far faster than among men between 2005 and 2014, according to the U.S. Agency for Healthcare Research and Quality (AHRQ).

Abstract/Full Text

Early Loop Diuretic Tx Tied to Lower Mortality in Heart Failure

WEDNESDAY, June 21, 2017 (HealthDay News) -- For patients with acute heart failure, early treatment with loop diuretics is associated with lower in-hospital mortality, according to a study published online June 19 in the Journal of the American College of Cardiology.

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

Diabetic Ketoacidosis Poses Fetal Risk During/After Event

WEDNESDAY, June 21, 2017 (HealthDay News) -- Diabetic ketoacidosis (DKA) during pregnancy poses risk for the fetus during and after the event, according to research published online June 12 in Diabetes Care.

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

Support for Financial Penalties Up With Emphasis on Patient Harms

TUESDAY, June 20, 2017 (HealthDay News) -- Physicians who receive information about patient harms are more likely to support financial penalties targeting inappropriate antibiotic prescribing, according to a research letter published online June 20 in the Annals of Internal Medicine.

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

Marital Status Among Factors Tied to Gout Rx Adherence

TUESDAY, June 20, 2017 (HealthDay News) -- For patients with gout, higher levels of belief about medicines, presence of comorbidity, and being married appear to increase urate-lowering therapy adherence, according to a study published online June 15 in the Journal of Clinical Nursing.

Abstract
Full Text (subscription or payment may be required)

Age a Factor in Patients Leaving Hospital Against Medical Advice

TUESDAY, June 20, 2017 (HealthDay News) -- Although patients aged 65 and older are four times less likely to leave the hospital against medical advice than adults under 65, race/ethnicity and poverty appear to increase this risk in elderly inpatients, according to a study published online June 19 in the Journal of the American Geriatrics Society.

Abstract
Full Text (subscription or payment may be required)

Firearms Kill or Wound 7,000 U.S. Children Annually

MONDAY, June 19, 2017 (HealthDay News) -- Gun-related violence is the third leading cause of death for children aged 1 to 17, and firearm-related deaths lag only behind car crashes in terms of injury-related mortality, according to a report published online June 19 in Pediatrics.

Abstract/Full Text
Editorial

Medications Underutilized for Treating Youth Opioid Abuse

MONDAY, June 19, 2017 (HealthDay News) -- The rate of opioid addiction among Americans age 25 and under rose nearly six-fold from 2001 to 2014, but few are receiving medical treatment that might prevent overdose or relapse, according to a report published online June 19 in JAMA Pediatrics.

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

Acupuncture Found to Be an Effective Analgesia Option in ER

MONDAY, June 19, 2017 (HealthDay News) -- Acupuncture is a safe and effective alternative to pain medications for some emergency department patients, according to a study published in the June 19 issue of the Medical Journal of Australia.

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

Opioid Addicts Find It Hard to Avoid Fentanyl

FRIDAY, June 16, 2017 (HealthDay News) -- More than half of all drug overdose deaths may be caused by fentanyl, according to two studies published online recently in the International Journal of Drug Policy.

Abstract 1
Full Text (subscription or payment may be required)
Abstract 2
Full Text

20 Percent of Hospital Patients Have Side Effects From Abx Rx

FRIDAY, June 16, 2017 (HealthDay News) -- About 20 percent of U.S. hospital patients who receive antibiotics experience side effects from the drugs, according to research published online June 12 in JAMA Internal Medicine.

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

Unusual Measles Outbreak Described in Ontario in Early 2015

FRIDAY, June 16, 2017 (HealthDay News) -- Eighteen cases of measles were recorded as part of an unusual outbreak in Ontario, Canada, in early 2015, according to research published in the July issue of the U.S. Centers for Disease Control and Prevention's Emerging Infectious Diseases.

Abstract/Full Text

Recreational Activity-Linked Facial Fractures Up in Seniors

FRIDAY, June 16, 2017 (HealthDay News) -- From 2011 to 2015 there was an increase in facial fractures sustained from recreational activity among older adults, according to a study published online June 15 in JAMA Facial Plastic Surgery.

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

AMA Endeavors to Increase Transparency of Rx Pricing

THURSDAY, June 15, 2017 (HealthDay News) -- The American Medical Association (AMA) is calling for more transparency in drug pricing amid rising costs that are putting some lifesaving medications out of reach for patients and communities.

More Information

Nomogram Predicts Survival for Adults Undergoing CAC Scoring

THURSDAY, June 15, 2017 (HealthDay News) -- A simple-to-use nomogram can predict five-, 10-, and 15-year survival among adults undergoing coronary artery calcium scoring (CACS), according to a study published online June 14 in JACC: Cardiovascular Imaging.

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

Strategies Implemented to Cut Opioid ODs, Deaths in Maryland

THURSDAY, June 15, 2017 (HealthDay News) -- Strategies are being implemented to reduce opioid overdoses and deaths in Maryland, according to a report published by the American Medical Association (AMA).

More Information

Rate of X-Ray Can Be Reduced for Constipation in Pediatric ER

WEDNESDAY, June 14, 2017 (HealthDay News) -- The rate of abdominal radiograph (AXR) use can be reduced in the pediatric emergency department setting with use of rational subgrouping and stratification on statistical process control (SPC) charts, according to a study published online June 14 in Pediatrics.

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

Antiplatelet Bleeding Risk Higher Than Expected for Older Patients

WEDNESDAY, June 14, 2017 (HealthDay News) -- Long-term daily aspirin use is linked to a higher-than-expected risk of disabling or fatal bleeding in patients aged 75 and over, according to a study published online June 13 in The Lancet.

Abstract
Full Text
Editorial

Expedited Partner Therapy Helps Reduce STI Incidence

TUESDAY, June 13, 2017 (HealthDay News) -- States that let doctors prescribe drugs to treat chlamydia or gonorrhea in both partners when only one makes an office visit have lower rates of the sexually transmitted infections, according to a study published online May 17 in Sexually Transmitted Infections.

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

Drones Could Up Response Times for Out-of-Hospital Cardiac Arrest

TUESDAY, June 13, 2017 (HealthDay News) -- Drones could be used to quickly deliver automated external defibrillators (AEDs) to out-of-hospital cardiac arrest patients, according to a research letter published in the June 13 issue of the Journal of the American Medical Association.

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

Case Report: Hyperammonemia to Be Considered in Cirrhosis Setting

TUESDAY, June 13, 2017 (HealthDay News) -- Severe hyperammonemia, resulting from ammonia that accumulates in stored blood products, should be considered in the setting of cirrhosis, according to a case report published online June 13 in the Annals of Internal Medicine.

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

Cases of Legionnaires' Disease Reported in NYC, Las Vegas

TUESDAY, June 13, 2017 (HealthDay News) -- Cases of Legionnaires' disease in New York City and Las Vegas are being investigated by health officials.

More Information

Medical Students Lacking Proficiency in BP Measurements

MONDAY, June 12, 2017 (HealthDay News) -- Medical students frequently do not achieve mastery of the skills necessary for accurate measurement of blood pressure (BP), according to a study published online April 28 in the Journal of Clinical Hypertension.

Abstract
Full Text

Review: Depression Screening As Inpatient Important, Feasible

MONDAY, June 12, 2017 (HealthDay News) -- Depression affects about one-third of hospital patients and could slow their recovery, according to research published recently in the Journal of Hospital Medicine.

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

Reporting Tool Shows Impact of Attacks on Health Care in Syria

FRIDAY, June 9, 2017 (HealthDay News) -- Results from a real-time reporting tool have shown the impact of attacks on health care services in Syria, according to an article published online June 8 in The Lancet.

Abstract
Full Text (subscription or payment may be required)

New Bill With Tort Reforms Will Protect Iowa Physicians

FRIDAY, June 9, 2017 (HealthDay News) -- A new bill with tort reforms to protect Iowa physicians will take effect July 1, according to a report published by the American Medical Association (AMA).

More Information

Type of Hospital Doesn't Impact Thrombolysis Outcomes in Stroke

FRIDAY, June 9, 2017 (HealthDay News) -- For older adults with acute stroke, treatment with intravenous thrombolysis (IVT) is associated with similar outcomes, irrespective of hospital characteristics, according to a study published online June 2 in the Journal of the American Geriatrics Society.

Abstract
Full Text (subscription or payment may be required)

Global Climate Change Could Cause Rise in Airway Irritation

FRIDAY, June 9, 2017 (HealthDay News) -- Climate change may increase people's exposure to an outdoor fungus that can damage airway cells, leading to a rise in asthma and allergy symptoms, according to a study published online recently in the American Journal of Physiology-Cell Physiology.

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

FDA Requests Removal of Opana ER From Market

FRIDAY, June 9, 2017 (HealthDay News) -- Sales of reformulated Opana ER should be halted in the United States, the U.S. Food and Drug Administration says.

More Information

U.S. Leads in Income-Based Health Care Inequalities

THURSDAY, June 8, 2017 (HealthDay News) -- The United States has larger income-related differences in perceptions of health and health care than other middle- and high-income countries, according to a report published in the June issue of Health Affairs.

Abstract
Full Text (subscription or payment may be required)

Drop in Admission for Aspiration Pneumonia From 2002 to 2012

THURSDAY, June 8, 2017 (HealthDay News) -- From 2002 to 2012 there was a decrease in the incidence of admission for aspiration pneumonia, according to research published in the June 1 issue of the Annals of the American Thoracic Society.

Abstract
Full Text (subscription or payment may be required)

Researchers Target Zolmitriptan Dosing for Pediatric Migraine

THURSDAY, June 8, 2017 (HealthDay News) -- In a report published online June 5 in the Journal of Clinical Pharmacology, recommended dosing regimens of zolmitriptan are suggested for children with migraine.

Abstract
Full Text (subscription or payment may be required)

SGLT2 Inhibitors Linked to Increased Risk of Ketoacidosis

THURSDAY, June 8, 2017 (HealthDay News) -- Sodium-glucose cotransporter 2 (SGLT2) inhibitors appear to increase the risk of diabetic ketoacidosis in patients with type 2 diabetes, according to a research letter published in the June 8 issue of the New England Journal of Medicine.

Abstract/Full Text

CDC: Legionella Present in Hospital, Nursing Home Plumbing

WEDNESDAY, June 7, 2017 (HealthDay News) -- Legionella has been found in the water systems of hospitals, nursing homes and long-term care facilities, putting the most vulnerable patients at risk, U.S. health officials said Tuesday.

More Information

Abnormal Chest Radiograph in Active Uveitis Often Sarcoidosis

WEDNESDAY, June 7, 2017 (HealthDay News) -- Most patients with active uveitis of unknown origin with abnormal chest radiographs have findings consistent with sarcoidosis, according to a study published in the June 1 issue of the Annals of the American Thoracic Society.

Abstract
Full Text (subscription or payment may be required)

Inpatient Progress Note Content Often Cut and Pasted

WEDNESDAY, June 7, 2017 (HealthDay News) -- Less than 20 percent of progress note content is entered manually by medical students, residents, and direct care hospitalists, according to a research letter published online May 30 in JAMA Internal Medicine.

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

CDC: High-Deductible Health Plan Use Rising Among Employers

WEDNESDAY, June 7, 2017 (HealthDay News) -- High-deductible health plans are becoming more common among U.S. adults with employer-sponsored health insurance coverage, according to a report issued June 6 by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

More Information

Stroke Risk Elevated in Elderly Patients With Cirrhosis

TUESDAY, June 6, 2017 (HealthDay News) -- Cirrhosis may raise older patients' odds for a stroke, particularly hemorrhagic stroke, according to a study published online June 5 in JAMA Neurology.

Abstract/Full Text

Many Taking NOACs for A-Fib May Not Be Getting Right Dose

TUESDAY, June 6, 2017 (HealthDay News) -- Nearly one in six Americans taking non-vitamin K antagonist oral anticoagulants for atrial fibrillation may not be receiving the proper dose, according to a study published in the June 13 issue of the Journal of the American College of Cardiology.

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

Positive Clinical Effects Seen for Placebos Without Deception

TUESDAY, June 6, 2017 (HealthDay News) -- Open-label placebos are associated with a positive effect compared with no treatment in a variety of clinical conditions, according to a review and meta-analysis published online May 30 in the Journal of Evidence-Based Medicine.

Abstract
Full Text (subscription or payment may be required)

CDC: 14 in California Poisoned by Amanita phalloides Mushrooms

MONDAY, June 5, 2017 (HealthDay News) -- A bumper crop of Amanita phalloides ("death cap") mushrooms in northern California is likely to blame for the poisonings of 14 people in December, according to research published in the June 2 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

Abstract/Full Text

Costs Associated With U.S. Adult Bicycle Crashes Steadily Rising

FRIDAY, June 2, 2017 (HealthDay News) -- Adult bike crashes cost an estimated $24.4 billion a year in the United States, with costs steadily rising by an average of $789 million per year, according to a study published online June 1 in Injury Prevention.

Abstract/Full Text

U.S. Emergency Departments Commonly Overcharging Patients

FRIDAY, June 2, 2017 (HealthDay News) -- Americans are routinely overcharged for emergency department care, and minority and uninsured patients are most likely to face this issue, according to a study published online May 30 in JAMA Internal Medicine.

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

Cool Water Works As Well As Hot for Ridding Hands of Germs

FRIDAY, June 2, 2017 (HealthDay News) -- For effective hand hygiene, water temperature matters less than time, according to a study published in the June issue of the Journal of Food Protection.

Abstract
Full Text (subscription or payment may be required)

Model Predicts Acute GI Bleeding in Anticoagulated Patients

FRIDAY, June 2, 2017 (HealthDay News) -- For patients taking oral anticoagulants, a new model can predict acute gastrointestinal (GI) bleeding, which is associated with increased risk of all-cause mortality, according to a study published online May 19 in the Journal of Gastroenterology and Hepatology.

Abstract
Full Text (subscription or payment may be required)

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

Amount of Opioids Prescribed After Hospital Discharge Varies

Amount of Opioids Prescribed After Hospital Discharge Varies

45.6 percent of patients using no opioids 24 hours predischarge were prescribed opioids at discharge

Observation Care Cost Saving in Commercially-Insured Patients

Observation Care Cost Saving in Commercially-Insured Patients

Total, out-of-pocket spending considerably lower for observation care; both increased from '09 to '13

Disrupted Sleep Linked to Increased Amyloid- Production

Disrupted Sleep Linked to Increased Amyloid-β Production

Sleep deprivation tied to increased overnight amyloid-β-38, -40, -42 levels by 25 to 30 percent

is free, fast, and customized just for you!

Already a member?

Sign In Now »