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Category: Emergency Medicine | Monthly Briefing

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July 2012 Briefing - Emergency Medicine

Last Updated: August 01, 2012.

 

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Here are what the editors at HealthDay consider to be the most important developments in Emergency Medicine for July 2012. 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.

Fifth Link Ups Neuro Outcome in Non-Hospital Cardiac Arrest

TUESDAY, July 31 (HealthDay News) -- Following implementation of the fifth link (multidisciplinary postresuscitation care in a regional center) to the previous four links in the chain of survival concept improves neurological outcomes for patients with out-of-hospital cardiac arrest, according to a study published in the July 31 issue of Circulation.

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Cases of Delayed Anaphylaxis to Red Meat Described

TUESDAY, July 31 (HealthDay News) -- Individuals who have been bitten by the lone star tick may develop immunoglobulin E (IgE) to the carbohydrate galactose-α-1,3-galactose (alpha-gal), which puts them at risk for delayed anaphylaxis after consumption of meat containing alpha-gal on glycoproteins or glycolipids, according to a study published online July 20 in the Journal of General Internal Medicine.

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Task Force Still Recommends Against Routine ECG Screening

TUESDAY, July 31 (HealthDay News) -- In an update of the 2004 recommendations, the U.S. Preventive Services Task Force (USPSTF) continues to recommend against routine use of electrocardiogram (ECG) screening of asymptomatic adults for coronary heart disease (CHD), according to a scientific statement published online July 31 in the Annals of Internal Medicine.

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MRSA Skin Infections Up, Linked to Furunculosis

FRIDAY, July 27 (HealthDay News) -- The incidence of community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) in the United States is increasing and is associated with follicular infection, most commonly folliculitis followed by furunculosis, according to a review published online July 16 in the British Journal of Dermatology.

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Coronary CT Angiography in ER Ups Decision-Making Efficiency

WEDNESDAY, July 25 (HealthDay News) -- Incorporating coronary computed tomographic angiography (CCTA) into evaluation of patients presenting to the emergency department with acute coronary syndrome symptoms improves the efficacy of clinical decision making, according to a study published in the July 26 issue of the New England Journal of Medicine.

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Editorial (subscription or payment may be required)

Neurosurgeon Availability Affects Motor Vehicle Deaths

WEDNESDAY, July 25 (HealthDay News) -- In the United States, counties with a higher population density of neurosurgeons report significantly fewer deaths due to motor vehicle accidents (MVAs), according to research published online July 24 in the Journal of Neurosurgery.

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Increased Risk of Heart Attack After Hip, Knee Replacement

WEDNESDAY, July 25 (HealthDay News) -- There is a significantly elevated risk of acute myocardial infarction (AMI) in the six weeks following total hip replacement (THR) and the two weeks following total knee replacement (TKR) surgery, according to a study published online July 23 in the Archives of Internal Medicine.

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Accurate Videos of Epley Maneuver Available on YouTube

MONDAY, July 23 (HealthDay News) -- Video-sharing Web sites such as YouTube accurately demonstrate the Epley Maneuver (EM), a simple treatment for benign paroxysmal positional vertigo of the posterior canal, according to a study published in the July 24 issue of Neurology.

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Many Adults With Diabetes Have No Insurance Coverage

MONDAY, July 23 (HealthDay News) -- Approximately two million adults under the age of 65 years with diabetes have no health insurance, according to research published online July 11 in Diabetes Care.

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Most Doctors Satisfied With Electronic Health Records

THURSDAY, July 19 (HealthDay News) -- Although only 55 percent of physicians had adopted electronic health records (EHRs) in 2011, most are somewhat or very satisfied with their system and most report enhanced patient care, according to a July data brief issued by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Poorer Patient Experience at Safety-Net Hospitals

THURSDAY, July 19 (HealthDay News) -- Safety-net hospitals (SNHs) perform worse on nearly every measure of patient experience, according to a study published online July 16 in the Archives of Internal Medicine.

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Adding Stroke Severity Measure Improves Mortality Risk Models

TUESDAY, July 17 (HealthDay News) -- Adding stoke severity to a hospital 30-day mortality risk model improves model discrimination and hospital performance rankings, according to a study published in the July 18 issue of the Journal of the American Medical Association.

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Social Network Analysis IDs Informal Physician Networks

TUESDAY, July 17 (HealthDay News) -- Informal networks among physicians who share patients demonstrate substantial geographic variability, while within networks, physician and patient characteristics are similar, according to a study published in the July 18 issue of the Journal of the American Medical Association.

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Physical Illness Hospitalization Found to Increase Suicide Risk

MONDAY, July 16 (HealthDay News) -- Hospitalization for physical illness more than doubles the risk of suicide, with approximately one-quarter of suicides attributable to physical illness, according to research published online July 9 in the Journal of Internal Medicine.

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Child Abuse Admissions Up During Mortgage Crisis

MONDAY, July 16 (HealthDay News) -- The rates of hospital admissions of children for physical abuse and high-risk traumatic brain injury (TBI) have increased over the past 10 years and appear to be associated with the housing mortgage crisis, according to research published online July 16 in Pediatrics.

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Triage Decisions Differ for Paramedics and Physicians

FRIDAY, July 13 (HealthDay News) -- Real-time emergency room triage decisions by paramedics agree with the triage decisions of emergency residents about half the time, according to a study published in the July issue of the Journal of Emergency Nursing.

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CDC: Babesiosis Risk in Northeast/Upper Midwest Travel

THURSDAY, July 12 (HealthDay News) -- Adults and children are vulnerable to a host of tick- and mosquito-borne diseases in many Midwestern, Northeastern, and Southwestern states, according to two reports published in the July 13 issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.

Full Text - Babesiosis
Full Text - West Nile

Long-Term Mortality Risk Low After Cerebral Vein Thrombosis

THURSDAY, July 12 (HealthDay News) -- For patients who survive a cerebral vein thrombosis (CVT), the long-term risk of mortality and recurrent venous thromboembolism (VTE) seems to be low, according to a study published in the July issue of the Journal of Thrombosis and Haemostasis.

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Emergency Service Hospital Prenotification Ups Stroke Tx

TUESDAY, July 10 (HealthDay News) -- Emergency medical service (EMS) hospital prenotification results in more timely imaging and administration of tissue plasminogen activator (tPA) and an increased proportion of eligible patients with acute ischemic stroke receiving tPA, according to a study published online July 10 in Circulation: Cardiovascular Quality and Outcomes.

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UTI Risk Up for Uncircumcised Boys Despite Urethral Visibility

MONDAY, July 9 (HealthDay News) -- Circumcised boys have a significantly lower risk of urinary tract infection (UTI) compared with uncircumcised boys, regardless of the degree of visibility of the urethral meatus, according to a study published online July 9 in CMAJ, the journal of the Canadian Medical Association.

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Gastrointestinal Perforation Rare in Rheumatoid Arthritis

FRIDAY, July 6 (HealthDay News) -- Gastrointestinal (GI) perforation is a rare but serious condition that affects patients with rheumatoid arthritis (RA), most frequently in the lower GI tract, according to a study published online June 21 in Arthritis Care & Research.

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One-Third of Opioid Overdose Deaths Involve Methadone

THURSDAY, July 5 (HealthDay News) -- Methadone is involved in more than 30 percent of opioid-related overdose deaths, with the overdose death rate significantly higher than for other opioid pain relievers, according to a report published in the July 3 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.

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Taser Use Does Not Cause Fatal Cardiac Dysrhythmias

WEDNESDAY, July 4 (HealthDay News) -- The field use of conducted electrical weapons (CEWs), or Tasers, with a probe impact configuration capable of causing a transcardiac discharge vector does not result in immediately fatal cardiac dysrhythmias, according to research published online June 6 in the Journal of Emergency Medicine.

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Substance Use Among Teens Peaks During Summer Months

WEDNESDAY, July 4 (HealthDay News) -- In the United States, initiation of substance use among adolescents peaks during the summer months of June and July, according to a July 2 report published by the Substance Abuse and Mental Health Services Administration (SAMHSA).

More Information

First Over-the-Counter HIV Test Approved

TUESDAY, July 3 (HealthDay News) -- The first over-the-counter test to detect antibodies to the virus that causes AIDS has been approved by the U.S. Food and Drug Administration, the agency said Tuesday.

AIDS.gov

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