September 2015 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 September 2015. 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.

CDC: Injuries Cost $671 Billion in the United States in 2013

WEDNESDAY, Sept. 30, 2015 (HealthDay News) -- Injuries from accidents and violence cost the United States $671 billion in 2013, with men accounting for far more of those costs than women, federal health officials reported Wednesday. The findings were published in the Oct. 2 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Negative Spiritual Belief Linked to Worse Health Outcomes

WEDNESDAY, Sept. 30, 2015 (HealthDay News) -- Any degree of negative spiritual belief is associated with worse health outcomes, regardless of positive spiritual beliefs, according to a study published in the Journal of Spirituality in Mental Health.

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Angioedema Induced by New Classes of Drugs

WEDNESDAY, Sept. 30, 2015 (HealthDay News) -- Two newer classes of drugs, dipeptidyl peptidase IV (DPP IV) and neprilysin inhibitors, can induce angioedema, according to research published in the October issue of Allergy.

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Young Children at Risk of Head Injuries From Falling Televisions

TUESDAY, Sept. 29, 2015 (HealthDay News) -- Between 2011 and 2013, an average of more than 15,000 children a year were treated in emergency departments for injuries involving televisions, or televisions and furniture, according to the U.S. Consumer Product Safety Commission (CPSC). From 2000 to 2013, there were 279 deaths related to such incidents, the CPSC said. A report on these injuries was published online Sept. 29 in the Journal of Neurosurgery: Pediatrics.

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ACP Issues Advice for Assessing Patients With Suspected PE

TUESDAY, Sept. 29, 2015 (HealthDay News) -- Best practice advice on diagnosis of suspected pulmonary embolism (PE) is provided for clinicians in clinical guidelines from the American College of Physicians (ACP). The guidelines were published online Sept. 29 in the Annals of Internal Medicine.

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Low Risk of Stroke After Peripheral Vestibular Disorder

MONDAY, Sept. 28, 2015 (HealthDay News) -- The risk of stroke is low following emergency department discharge with a diagnosis of peripheral vestibular disorder; however, some strokes are being misdiagnosed as peripheral vestibular disorders, according to a study published online Sept. 18 in the Annals of Neurology.

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Low D-Dimer Cut-Off Appears to Help Prevent Recurrent Events

FRIDAY, Sept. 25, 2015 (HealthDay News) -- Low cut-off levels used in the D-Dimer-Ultrasonography in Combination Italian Study (DULCIS) resulted in half the recurrent venous thromboembolism (VTE) events that would have occurred using other criteria in young patients at high risk, according to research published online Sept. 12 in the International Journal of Laboratory Hematology.

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Guideline Developed for Supraventricular Tachycardia

FRIDAY, Sept. 25, 2015 (HealthDay News) -- Recommendations have been developed for the management of adult patients with supraventricular tachycardia (SVT). The guideline was published online Sept. 23 in the Journal of the American College of Cardiology.

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Health Insurance Deductibles Rising Faster Than Wages

WEDNESDAY, Sept. 23, 2015 (HealthDay News) -- Health insurance deductibles have risen more than six times faster than American workers' average wages since 2010, a Kaiser Family Foundation report says.

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ICU for Pneumonia in Elderly Ups Survival, Not Costs

WEDNESDAY, Sept. 23, 2015 (HealthDay News) -- Admitting older, low-risk patients with pneumonia to the intensive care unit (ICU) -- compared with admission to regular wards -- is linked with higher survival rates but not higher medical expenses, new research suggests. The study was published in the Sept. 22/29 issue of the Journal of the American Medical Association.

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IOM: Most U.S. Patients Will Experience Diagnostic Error

WEDNESDAY, Sept. 23, 2015 (HealthDay News) -- A new report commissioned by the U.S. government contends that most Americans will encounter at least one diagnostic error in their lifetime, sometimes with severe consequences for their physical and mental health.

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DNR Orders After In-Hospital Cardiac Arrest Tied to Survival

TUESDAY, Sept. 22, 2015 (HealthDay News) -- For patients who receive successful resuscitation from in-hospital cardiac arrest, do-not-resuscitate (DNR) orders are generally associated with likelihood of favorable neurological survival, according to a study published in the Sept. 22/29 issue of the Journal of the American Medical Association.

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Medical Schools Teaching Students About Costs of Care

TUESDAY, Sept. 22, 2015 (HealthDay News) -- Many medical schools are integrating discussions of cost, value, and effectiveness into their curricula, according to Kaiser Health News.

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Harms From Unnecessary Abx Extend Beyond Resistance

TUESDAY, Sept. 22, 2015 (HealthDay News) -- Use of antibiotics in patients with heart failure exacerbation in the absence of compelling evidence of infection is unnecessary and potentially harmful, according to teachable moment piece published online Sept. 21 in JAMA Internal Medicine.

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USPSTF Urges Doctors to Ask Adults About Tobacco Use

TUESDAY, Sept. 22, 2015 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends that clinicians ask adults, including pregnant women, about tobacco use and provide interventions to help stop smoking. These findings form the basis of a clinical guideline published online Sept. 22 in the Annals of Internal Medicine.

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Docs in Productivity Models Likely to Encounter Compensation Caps

MONDAY, Sept. 21, 2015 (HealthDay News) -- Physicians, especially those working in a productivity model, need to understand compensation caps, which are set at a specific percentile of national pay based on surveys, according to a report in Medical Economics.

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Mid-Morning May Be Best Time for Workday Break

FRIDAY, Sept. 18, 2015 (HealthDay News) -- Choosing preferred activities for a work break and taking a break earlier in the shift are linked to more resource recovery after a break, according to a study published online Aug. 10 in the Journal of Applied Psychology.

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Volunteer Doctors Need to Check Liability Coverage

FRIDAY, Sept. 18, 2015 (HealthDay News) -- Physicians who volunteer their medical expertise should consider their legal risks, according to an article published online Sept. 3 in Medical Economics.

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Energy Drinks Plus Alcohol Tied to Brain Injury in Teens

FRIDAY, Sept. 18, 2015 (HealthDay News) -- The consumption of energy drinks and alcohol mixed with energy drinks increases the odds of traumatic brain injury (TBI) among adolescents, according to a study published Sept. 16 in PLOS ONE.

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Lacerations Most Common Type of Tricycle Injury

FRIDAY, Sept. 18, 2015 (HealthDay News) -- Lacerations are the most common type of tricycle injury in children who present to emergency departments (EDs), and the majority of tricycle injuries occur in boys, according to research published in the October issue of Pediatrics.

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Complex Chronic Diseases Appear to Drive Frequent Admissions

WEDNESDAY, Sept. 16, 2015 (HealthDay News) -- Patients who are frequently admitted to U.S. academic medical centers are significantly more likely than other patients to have multiple complex chronic conditions, according to a study published in the September issue of the Journal of Hospital Medicine.

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Women Less Likely to Be Full Professors Than Men

WEDNESDAY, Sept. 16, 2015 (HealthDay News) -- In academic medicine, women are less likely to be full professors than men and have less startup funding than men, according to two studies published in the Sept. 15 issue of JAMA.

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Hospitalized Patients With CKD Often Unaware of It

WEDNESDAY, Sept. 16, 2015 (HealthDay News) -- Hospitalized patients with chronic kidney disease (CKD) frequently are unaware of their condition, according to research published in the September issue of the Journal of Hospital Medicine.

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Longer Shift Length Tied to EMS Worker Injury

TUESDAY, Sept. 15, 2015 (HealthDay News) -- Longer shift lengths are tied to increased risk of occupational injury and illness among emergency medical services (EMS) workers, according to a study published online Sept. 14 in Occupational & Environmental Medicine.

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Racial Disparities in Analgesia for Children With Appendicitis

TUESDAY, Sept. 14, 2015 (HealthDay News) -- For pediatric patients with appendicitis, racial disparities exist with respect to analgesia administration, according to a study published online Sept. 14 in JAMA Pediatrics.

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Bronchiolitis Clinical Practice Guidelines Vary in Quality

MONDAY, Sept. 14, 2015 (HealthDay News) -- Clinical practice guidelines (CPGs) on acute viral bronchiolitis vary in quality, with the highest scoring domains being "scope and purpose" and "clarity of presentation," according to a study published online Sept. 8 in the Journal of Evaluation in Clinical Practice.

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Motor Sport Tied to Carbon Monoxide Poisonings, Deaths

FRIDAY, Sept. 11, 2015 (HealthDay News) -- The off-road motor sport known as mud bogging can put drivers and passengers at risk of potentially lethal carbon monoxide poisoning, a group of doctors report. Their findings were published in the Sept. 10 issue of the New England Journal of Medicine.

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CDC: Second Death Reported in Salmonella Outbreak

THURSDAY, Sept. 10, 2015 (HealthDay News) -- A second death has been reported in a Salmonella outbreak that has been linked to contaminated cucumbers and caused 341 illnesses in 30 states, U.S. health officials said Wednesday.

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4% Increase in Population of Actively Licensed Physicians

THURSDAY, Sept. 10, 2015 (HealthDay News) -- The total population of actively licensed physicians in the United States and the District of Columbia has increased by 4 percent since 2012, according to a report published in the Journal of Medical Regulation.

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Physician Re-Entry Program Set to Redress Physician Shortage

THURSDAY, Sept. 10, 2015 (HealthDay News) -- An online educational program aims to help physicians get back to work and reduce the nation's physician shortage, according to an article published by the American Academy of Family Physicians (AAFP).

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Elevated Liver Enzymes Common in Severe Anorexia Nervosa

THURSDAY, Sept. 10, 2015 (HealthDay News) -- For adults with severe anorexia nervosa (AN), elevated liver enzymes are relatively common and are associated with lower body mass index (BMI) and hypoglycemia, according to research published online Sept. 8 in the International Journal of Eating Disorders.

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EHR Vendors Not Adhering to Usability Certification Standards

WEDNESDAY, Sept. 9, 2015 (HealthDay News) -- Among electronic health record (EHR) products, there is a lack of adherence to the U.S. Department of Health and Human Services' Office of the National Coordinator for Health Information Technology (ONC) standards, according to a research letter published in the Sept. 8 issue of the Journal of the American Medical Association.

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Non-O Blood Group Tied to Higher CAD, MI Risk

WEDNESDAY, Sept. 9, 2015 (HealthDay News) -- Having non-O blood group may be an independent risk factor for coronary artery disease (CAD) and myocardial infarction, according to a meta-analysis published in the Sept. 1 issue of The American Journal of Cardiology.

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Accelerated MD Program Doesn't Mar Academic Performance

WEDNESDAY, Sept. 9, 2015 (HealthDay News) -- An accelerated baccalaureate (BA)/doctor of medicine (MD) program does not impair the academic performance of medical students, according to a study published online July 3 in Academic Medicine.

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CDC: ER Visits for Medication Overdoses in Children Down

WEDNESDAY, Sept. 9, 2015 (HealthDay News) -- The number of pediatric emergency department visits for medication exposures in children aged 6 years and younger rose during the early 2000s, peaking at 75,842 in 2010, but declined to 59,092 visits in 2013, according to findings published online Sept. 7 in Pediatrics.

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AAP Recommends Flu Vaccine for All Children, Health Care Workers

TUESDAY, Sept. 8, 2015 (HealthDay News) -- All eligible children and health care workers should receive influenza vaccination, according to new policy statements from the American Academy of Pediatrics (AAP). The policy statements were published online Sept. 7 in Pediatrics.

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CHADS2 Best Predictor of Postoperative Mortality Risk

FRIDAY, Sept. 4, 2015 (HealthDay News) -- The CHADS2 atrial fibrillation (AF) risk score is the best predictor of postoperative stroke or death regardless of type of surgery, according to a study published online Aug. 13 in the Journal of Thrombosis and Haemostasis.

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Suggested Response Provided for In-Flight Medical Emergencies

FRIDAY, Sept. 4, 2015 (HealthDay News) -- In a review article published online Sept. 3 in the New England Journal of Medicine, guidance is offered for physicians providing emergency in-flight medical care.

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D.C. Needle-Exchange Program Curbed HIV Spread

FRIDAY, Sept. 4, 2015 (HealthDay News) -- A needle-exchange program in Washington, D.C., has successfully prevented new HIV infections, according to a study published online Sept. 3 in AIDS and Behavior.

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FDA Issues Warning Regarding Injectable Skin Lighteners

THURSDAY, Sept. 3, 2015 (HealthDay News) -- The U.S. Food and Drug Administration has issued a warning that injectable skin-lightening products are potentially unsafe and ineffective.

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Cardiovascular Risk Up After Knee, Hip Replacement

WEDNESDAY, Sept. 2, 2015 (HealthDay News) -- Patients who have total hip or knee replacement surgery face a greater risk for myocardial infarction (MI) during the first month following the procedure, according to research published online Aug. 31 in Arthritis & Rheumatology.

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Fewer Repeat Hemorrhagic Strokes With Better BP Control

WEDNESDAY, Sept. 2, 2015 (HealthDay News) -- Survivors of intracerebral hemorrhage may be at higher risk for recurrence if their blood pressure (BP) isn't under control, a new study warns. The findings were published in the Sept. 1 issue of the Journal of the American Medical Association.

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Bike Injuries Up Among Older Americans

WEDNESDAY, Sept. 2, 2015 (HealthDay News) -- Injuries among older bicyclists have increased dramatically in recent years, according to a research letter published in the Sept. 1 issue of the Journal of the American Medical Association.

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Observation Stays Can Exceed Cost of Inpatient Deductible

TUESDAY, Sept. 1, 2015 (HealthDay News) -- More than one-quarter of Medicare beneficiaries with multiple observation stays have a cumulative financial liability that exceeds that of the inpatient deductible, according to a study published online Aug. 20 in the Journal of Hospital Medicine.

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Needle Guide Improves Catheterization of Subclavian Vein

TUESDAY, Sept. 1, 2015 (HealthDay News) -- A multi-angle needle guide can improve ultrasound-guided catheterization of the subclavian vein, according to a study published online Aug. 28 in Anaesthesia.

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