May 2017 Briefing - Emergency Medicine

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

~4 Percent of U.S. Population Has Food Allergy, Intolerance

WEDNESDAY, May 31, 2017 (HealthDay News) -- Approximately 4 percent of Americans have a food allergy, with women and Asians the most affected, according to a report published online May 31 in the Journal of Allergy and Clinical Immunology.

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Considerable Humanistic Impact for Chronic Spontaneous Urticaria

WEDNESDAY, May 31, 2017 (HealthDay News) -- Chronic spontaneous urticaria (CSU) interferes with sleep and daily activity, impairing work productivity, and patients frequently report angioedema, according to a study published online May 19 in Allergy.

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Social Psychology May Help With Physician Error Disclosure

TUESDAY, May 30, 2017 (HealthDay News) -- Lessons from social psychology can be used to improve behavioral changes in terms of error disclosure, according to research published online May 18 in Medical Education.

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Few Emergency Clinicians Know Costs of ER Tests, Treatment

TUESDAY, May 30, 2017 (HealthDay News) -- Most emergency medicine health care professionals lack accurate knowledge of the costs of tests and treatments that are ordered in the emergency department, according to a study published online May 30 in the Journal of the American Osteopathic Association.

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High-Risk Pools May Represent Step Back for U.S. Health Care

TUESDAY, May 30, 2017 (HealthDay News) -- Proposed legislation as part of the American Health Care Act, which includes the option of high-risk pools, is not likely to reduce costs, according to an Ideas and Opinions piece published online May 23 in the Annals of Internal Medicine.

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New Bill Intends to Repeal Limits on Physician-Owned Hospitals

FRIDAY, May 26, 2017 (HealthDay News) -- A new bill introduced in the U.S. House of Representatives would repeal the federal law essentially banning construction of physician-owned hospitals and making it difficult for these facilities to grow, according to a report published by the American Medical Association (AMA).

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New Health Care Act Could Result in 23 Million Losing Insurance

FRIDAY, May 26, 2017 (HealthDay News) -- The Republican-led bill to repeal and replace the Affordable Care Act (ACA) that passed the House this month would result in 23 million Americans losing their health insurance coverage, according to a report issued by the Congressional Budget Office (CBO).

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Factors Raise Risk of Pregnancy-Related Stroke in Preeclampsia

FRIDAY, May 26, 2017 (HealthDay News) -- Several factors raise the risk of pregnancy-related stroke in women with preeclampsia, according to a study published online May 25 in Stroke.

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New Interactive Module Aims to Clarify Professional Boundaries

THURSDAY, May 25, 2017 (HealthDay News) -- A new interactive training module in medical ethics can help physicians to understand professional boundaries, according to a report published by the American Medical Association (AMA).

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Path to Empathy Deemed As Vital As Being Empathetic

THURSDAY, May 25, 2017 (HealthDay News) -- Different paths to perspective of another's experience are associated with varying effect on helpers' health during helping behavior, according to a study published online April 16 in the Journal of Experimental Social Psychology.

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Doctors Urged to Check Patient Drug History Before Opioid Rx

WEDNESDAY, May 24, 2017 (HealthDay News) -- Prescription databases can help combat drug abuse when doctors are required by law to check them before writing opioid prescriptions, according to a study to be published in a future issue of the American Economic Journal: Economic Policy.

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Mortality Rates Found Lower at Major Teaching Hospitals

WEDNESDAY, May 24, 2017 (HealthDay News) -- Older adults treated at major teaching facilities are less likely to die in the weeks and months following their discharge than patients admitted to community hospitals, according to research published in the May 23/30 issue of the Journal of the American Medical Association.

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Normal Meal Tolerance Test Is Practical, Reliable in T2DM

WEDNESDAY, May 24, 2017 (HealthDay News) -- A normal meal tolerance test (NMTT) -- a simplified version of the mixed meal tolerance test -- is valuable as an insulin secretion test in patients with type 2 diabetes, with exception of those in a hyperglycemic state, according to a study published online May 11 in the Journal of Diabetes Investigation.

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Case of Gnathostomiasis Caused by Roe Ingestion Reported

TUESDAY, May 23, 2017 (HealthDay News) -- In a case report published online May 4 in The Journal of Dermatology, gnathostomiasis caused by ingestion of raw roe from Oncorhynchus masou ishikawae is described.

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Trends in Teen Binge Drinking Still Raise Concerns

MONDAY, May 22, 2017 (HealthDay News) -- Binge drinking rates are down among adolescents in the United States; however, the trend isn't benefiting all teenagers equally, according to a study published online May 22 in Pediatrics.

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KIT Inhibition by Imatinib Helps Severe Refractory Asthma

MONDAY, May 22, 2017 (HealthDay News) -- Imatinib (Gleevec) may effectively treat severe refractory asthma, according to research published in the May 18 issue of the New England Journal of Medicine.

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Initial Specimen Diversion Device Cuts Culture Contamination

MONDAY, May 22, 2017 (HealthDay News) -- For patients undergoing blood cultures in an emergency department setting, use of a device that diverts and sequesters the initial 1.5 to 2.0 mL of blood (initial specimen diversion device [ISDD]) is associated with a decrease in blood culture contamination, according to a study published online May 17 in Clinical Infectious Diseases.

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CDC: Crypto Outbreaks Linked to Pools Have Doubled Since 2014

FRIDAY, May 19, 2017 (HealthDay News) -- Outbreaks of cryptosporidiosis have doubled in recent years at swimming pools and water playgrounds in the United States, according to research published in the May 19 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report (MMWR).

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Tips Provided to Help Physicians Plan for Retirement

THURSDAY, May 18, 2017 (HealthDay News) -- Physicians should consider their retirement and plan ahead at all stages of their career, according to an article published in Medical Economics.

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Blacks, Hispanics Less Likely to See Neurologist As Outpatient

THURSDAY, May 18, 2017 (HealthDay News) -- Black and Hispanic patients are less likely than white patients to make an appointment to see a neurologist, according to a study published online May 17 in Neurology.

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Most Routine Coagulation Tests Reliable Up to Eight Hours

THURSDAY, May 18, 2017 (HealthDay News) -- Most routine coagulation tests can be reliably evaluated after storage at room temperature for up to eight hours after blood collection, according to a study published online May 8 in the International Journal of Laboratory Hematology.

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Treatment in Hospital by Older Doctors Tied to Higher Mortality

WEDNESDAY, May 17, 2017 (HealthDay News) -- Hospitalized patients 65 and older may face a slightly higher risk of dying within a month of their admittance when treated by an older versus younger physician, according to research published online May 16 in The BMJ.

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CDC: Slowing of Decline in Number of Uninsured Adults

WEDNESDAY, May 17, 2017 (HealthDay News) -- The decline in the number of Americans without health insurance stalled in 2016 after five years of progress, according to a U.S. Centers for Disease Control and Prevention report released Tuesday.

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Acute MI Risk Significantly Up Following Respiratory Infection

WEDNESDAY, May 17, 2017 (HealthDay News) -- The risk of acute myocardial infarction (AMI) increases sharply after a respiratory infection, according to a study published in the May issue of the Internal Medicine Journal.

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Exercise-Induced Anaphylaxis Due to Shrimp Intake Described

WEDNESDAY, May 17, 2017 (HealthDay News) -- In a case report published online May 4 in The Journal of Dermatology, food-dependent exercise-induced anaphylaxis (FDEIA) due to shrimp consumption is described in an 18-year-old.

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Plan Suggested for Reducing Health Care Costs

TUESDAY, May 16, 2017 (HealthDay News) -- Health care costs can be reduced, with a nine-step plan suggested as a starting place, according to an article published in Medical Economics.

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Many Seniors With Nonbacterial Acute URI Prescribed Antibiotics

MONDAY, May 15, 2017 (HealthDay News) -- A considerable proportion of elderly patients with a nonbacterial acute upper respiratory tract infection (AURI) are prescribed antibiotics, according to research published online May 9 in the Annals of Internal Medicine.

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Hospitals Need to Be Prepared for Ransomware Attacks

FRIDAY, May 12, 2017 (HealthDay News) -- Hackers are increasingly targeting hospitals, using viruses to lock their computer systems and hold sensitive medical data and other files hostage, according to an observation piece published online May 11 in The BMJ.

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Outcomes Up With Same Hospital Readmissions in Heart Failure

THURSDAY, May 11, 2017 (HealthDay News) -- Heart failure patients who are readmitted to the same hospital after their initial treatment are more likely to survive compared to those treated at a different hospital, according to research published online May 10 in the Journal of the American Heart Association.

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ADHD Meds Associated With Reduced Risk for Car Crashes

THURSDAY, May 11, 2017 (HealthDay News) -- Taking medication for attention-deficit/hyperactivity disorder (ADHD) is tied to lower odds of car accidents involving patients with ADHD, according to a study published online May 10 in JAMA Psychiatry.

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AAN: Families Should Ask About Body Cooling After Cardiac Arrest

THURSDAY, May 11, 2017 (HealthDay News) -- Therapeutic hypothermia should be utilized to minimize the risk of brain damage for cardiac arrest patients in a coma, according to a new guideline published online May 10 in Neurology.

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Increases in Rates of Insured Don't Harm Continuously Insured

WEDNESDAY, May 10, 2017 (HealthDay News) -- Increases in insurance coverage from 2008 to 2014 were not associated with worse access to care for continuously insured adults, according to a study published in the May issue of Health Affairs.

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Bundled Payment Initiative Doesn't Cut Readmission in COPD

WEDNESDAY, May 10, 2017 (HealthDay News) -- A Medicare Bundled Payments for Care Improvement (BPCI) initiative does not reduce readmission rates or costs among patients with acute exacerbation of chronic obstructive pulmonary disease (COPD), according to a study published in the May 1 issue of the Annals of the American Thoracic Society.

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Cotton Swab-Related Ear Injuries Continue to Be Seen in the ER

WEDNESDAY, May 10, 2017 (HealthDay News) -- Thousands of children visit U.S. emergency departments every year for ear injuries caused by cotton swabs, according to a study published online May 1 in The Journal of Pediatrics.

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Postmarket Safety Events for 32 Percent of Novel Therapeutics

WEDNESDAY, May 10, 2017 (HealthDay News) -- From 2001 to 2010, 32 percent of novel therapeutics approved by the U.S. Food and Drug Administration had a postmarket safety event, according to a study published in the May 9 issue of the Journal of the American Medical Association.

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EpiPens Found to Still Be Viable Long After Expiration Date

TUESDAY, May 9, 2017 (HealthDay News) -- EpiPens can remain effective years after their expiration date, according to a research letter published online May 8 in the Annals of Internal Medicine.

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Evidence-Based Medicine Course Beneficial for Critical Thinking

TUESDAY, May 9, 2017 (HealthDay News) -- An evidence-based medicine (EBM) course has some positive effect on medical student critical thinking (CT), according to a study published online April 27 in the Journal of Evidence-Based Medicine.

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Most Physician Mothers Report Perceived Discrimination

TUESDAY, May 9, 2017 (HealthDay News) -- A considerable proportion of physician mothers report perceived discrimination, according to a research letter published online May 8 in JAMA Internal Medicine.

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Internet-Based Vestibular Rehab Beneficial for Dizziness

TUESDAY, May 9, 2017 (HealthDay News) -- Internet-based vestibular rehabilitation reduces dizziness for adults aged 50 years or older, according to a study published in the May/June issue of the Annals of Family Medicine.

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More Women Than Men Leaving Practice of Medicine

MONDAY, May 8, 2017 (HealthDay News) -- More women than men leave the practice of medicine, according to an article published in Medical Economics.

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Many Seniors Use Cellphones While Driving With Children

MONDAY, May 8, 2017 (HealthDay News) -- Many senior citizens are driving while distracted, according to a new survey conducted by the University of California, San Diego (UCSD).

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Disability Reduced When Bystander CPR Is Performed

FRIDAY, May 5, 2017 (HealthDay News) -- Quick action from bystanders can have a long-lasting impact for patients with cardiac arrest, according to a study published in the May 4 issue of the New England Journal of Medicine.

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Case Report Describes Insulin Autoimmune Syndrome

FRIDAY, May 5, 2017 (HealthDay News) -- In a case report published online May 1 in Diabetes Care, resolution of hypoglycemia and cardiovascular dysfunction after rituximab treatment of insulin autoimmune syndrome is described.

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Poll: Many Americans Concerned About ACA Repeal

THURSDAY, May 4, 2017 (HealthDay News) -- Only one in five Americans support a repeal of the Affordable Care Act (ACA), a new HealthDay/Harris Poll reveals.

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CMS Releases Resources to Help With Payment System

THURSDAY, May 4, 2017 (HealthDay News) -- The Centers for Medicare & Medicaid Services (CMS) recently added three new online resources to assist physicians already participating in the Merit-based Incentive Payment System (MIPS) and those exploring the opportunities available.

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Ischemic Outcomes Don't Vary With Gender in ACS Patients

THURSDAY, May 4, 2017 (HealthDay News) -- For acute coronary syndrome (ACS) patients undergoing percutaneous coronary intervention (PCI) and receiving clopidogrel, prasugrel, or ticagrelor, ischemic outcome does not differ by gender, according to a study published online April 29 in Cardiovascular Therapeutics.

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Angiography Beneficial for Management of Unstable Angina

WEDNESDAY, May 3, 2017 (HealthDay News) -- Use of routine invasive coronary angiography is beneficial for management of patients with unstable angina, according to a study published online May 1 in the Annals of Internal Medicine.

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New Rx for Sleeping Pills Can Up Risk of Hip Fracture

WEDNESDAY, May 3, 2017 (HealthDay News) -- Older patients are at greater risk for hip fractures for two weeks after they start taking prescription sleeping pills, according to a review published online April 27 in PLOS ONE.

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Half of U.S. Doctors Receive Payments From Industry

WEDNESDAY, May 3, 2017 (HealthDay News) -- About half of U.S. doctors received payments from the pharmaceutical and medical device industries in 2015, amounting to $2.4 billion, and any form or amount of compensation can influence prescribing behavior, according to research published in the May 2 issue of the Journal of the American Medical Association, a theme issue on conflict of interest.

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Too Few Americans Know the Warning Signs of Stroke

TUESDAY, May 2, 2017 (HealthDay News) -- About 35 percent of Americans experience symptoms of a transient ischemic attack (TIA), yet only 3 percent get immediate medical attention, according to findings from the American Heart Association/American Stroke Association.

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Thunderstorms Can Trigger Asthma Attacks

TUESDAY, May 2, 2017 (HealthDay News) -- Thunderstorms can trigger asthma outbreaks, according to a study published online April 13 in the Journal of Applied Meteorology and Climatology.

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Common Antibiotics May Increase Risk of Miscarriage

MONDAY, May 1, 2017 (HealthDay News) -- Use of macrolides, quinolones, tetracyclines, sulfonamides, and metronidazole during pregnancy may increase the risk of miscarriage, according to a study published in the May 1 issue of CMAJ, the journal of the Canadian Medical Association.

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Drug-Impaired Driving Continuing to Rise in the United States

MONDAY, May 1, 2017 (HealthDay News) -- In fatal vehicle crashes, illicit drugs are now more likely to have played a role than the use of alcohol on its own, according to a new report from the Governors Highway Safety Association (GHSA) and the Foundation for Advancing Alcohol Responsibility.

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Mechanical Thrombectomy Safe in Older Ischemic Stroke Patients

MONDAY, May 1, 2017 (HealthDay News) -- For older adults with acute ischemic stroke, endovascular therapy seems safe and efficacious, according to a study published online April 19 in the Journal of the American Geriatrics Society.

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'Choosing Wisely' Linked to Small Drop in Back Pain Imaging

MONDAY, May 1, 2017 (HealthDay News) -- "Choosing Wisely," launched in April 2012, has contributed to a small reduction in low-value back imaging, according to a study published online April 25 in Health Affairs.

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