Current Emergency Medicine News and Events | Page 25

Current Emergency Medicine News and Events, Emergency Medicine News Articles.
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City living can make asthma worse for poor children, study finds
Results of a new study by Johns Hopkins researchers using national data add to evidence that living in inner cities can worsen asthma in poor children. They also document persistent racial/ethnic disparities in asthma. (2017-03-15)

Keeping the elderly safe
In 2012, a research team from Duke-NUS Medical School (Duke-NUS) in Singapore teamed up with the Singapore General Hospital (SGH), Changi General Hospital (CGH) and Agency for Integrated Care, to study the effectiveness of tailored physical therapy programs for the elderly to prevent falls, also known as the Steps to Avoid Falls in Elderly (SAFE) study. (2017-03-15)

Combining opioids with anti-anxiety medicines linked to greater risk of overdose
Taking opioids (strong prescription painkillers) together with benzodiazepines (widely used to treat anxiety and sleep problems) is associated with greater risk of opioid overdose, finds a study in The BMJ today. (2017-03-14)

Drug use drops after ER visits used as 'teachable moments'
An emergency room visit for an illness or injury may seem like a strange time to try to motivate someone to cut back on using drugs. But a new study suggests that even a half-hour chat with a trained counselor, or a few minutes using a special tablet computer program with a 'virtual therapist', can turn an emergency room trip into the basis for a long-lasting drop in a person's substance use or misuse. (2017-03-10)

Parental concerns reduce uptake of child flu vaccine
The first study investigating parental attitudes towards the UK's child flu vaccine has found concerns about safety and side effects may negatively influence uptake, and recommends that public health messages need to be reinforced. (2017-03-08)

Penn trauma surgeons show 'profound' racial disparity in Philadelphia gun violence
In a Viewpoint published this week in JAMA Surgery, researchers from the Perelman School of Medicine at the University of Pennsylvania, argue for more research on firearm injury, including the establishment of a national database on incidents of gun violence. The authors point to recent research showing that in Philadelphia, gun murders and injuries are much more strongly associated with race than neighborhood income levels. (2017-03-08)

Broadly adopted transfusion practice may not benefit patients without traumatic injury
A study from investigators at Massachusetts General Hospital finds that a blood transfusion practice previously studied only in patients with severe traumatic injuries has been widely adopted within the hospital for surgical patients without traumatic injuries, for whom it may not be beneficial. (2017-03-08)

New hope for treating heart failure
Heart failure patients who are getting by on existing drug therapies can look forward to a far more effective medicine in the next five years or so, thanks to University of Alberta researchers. (2017-03-07)

Evaluation of emergency medicine residents points to gender bias
By the end of the third and final year of residency, evaluations of female physicians placed them three to four months behind male colleagues in the same training program. Male residents, on average, received higher evaluations on all 23 training categories. The gap emerged early in the second year of training and steadily widened until graduation. (2017-03-06)

Direct-to-consumer telehealth may drive up medical spending by encouraging new care
Direct-to-consumer telehealth services are touted as a convenient way to get care for minor ailments -- far less costly and easier than going to a doctor's office or hospital emergency department. But a new study finds that such services appear to create new uses of medical services and thus may drive up medical spending rather than trimming costs. (2017-03-06)

Collection of articles examines racial, gender issues in academic medicine
New research published online by JAMA Internal Medicine examines race and gender issues in academic medicine. (2017-03-06)

Simple tool can predict serious adverse events in acute heart failure patients
A prospective clinical validation found the Ottawa Heart Failure Risk Scale (OHFRS) tool to be highly sensitive for serious adverse event in acute heart failure patients and can now be used in clinical practice to estimate the short-term risk of SAEs in acute heart failure patients. (2017-03-06)

Gender bias may hamper evaluations of female emergency medicine residents
Implicit gender bias has long been suspected in many medical training programs, but until recently has been difficult to study objectively. Now, for the first time, a nationally standardized milestone evaluation system for emergency medicine residents is shining a light on these potential biases. In study published today in JAMA Internal Medicine, researchers found that although male and female emergency medicine specialists start off residency on an equal playing field, by the end of the three-year training program male residents received higher evaluations. (2017-03-06)

Adolescents with autism four times more likely to visit emergency department
Adolescents with autism spectrum disorder (ASD) use emergency-department services four times as often as their peers without autism, according to Penn State College of Medicine researchers. The findings suggest that youth with autism may need better access to primary care and specialist services. (2017-02-28)

Dying patients who received palliative care visited the ER less
WASHINGTON -- Community-based palliative care -- care delivered at home, not the hospital - was associated with a 50 percent reduction in emergency department visits for patients in their last year of life. The results of an Australian study were published online February 3rd in Annals of Emergency Medicine ('The Association of Community-Based Palliative Care with Reduced Emergency Department Visits in the Last Year of Life Varies by Patient Factors'). (2017-02-21)

Osteopathic technique helps locate ectopic pregnancies when imaging fails
The location of an ectopic pregnancy can be determined quickly and easily with a simple, noninvasive physical examination technique used by osteopathic physicians. The method can be helpful in emergency situations, like ruptured ectopic pregnancies, when bleeding obscures traditional imaging. Ectopic pregnancies account for nearly 2 percent of all pregnancies in North America and are the leading cause of maternal mortality in the first trimester. (2017-02-21)

Placebo and valium are equally effective for acute lower back pain in the ER
Emergency patients treated with naproxen and placebo had outcomes as good as or better than patients treated with naproxen and diazepam (trade name Valium) for acute lower back pain, according to the results of a double-blind, randomized clinical trial published last week in Annals of Emergency Medicine ('Diazepam Is No Better Than Placebo When Added to Naproxen for Acute Low Back Pain'). (2017-02-16)

Physicians' opioid prescribing patterns linked to patients' risk for long-term drug use
Emergency room patients treated by physicians who prescribe opioids more often are at greater risk for long-term opioid use even after a single prescription than those who see less-frequent prescribers, according to the findings of a study from Harvard Medical School and T.H. Chan School of Public Health. The research, believed to be the first to measure variation in provider prescribing practices and their impact on long-term opioid use, is published Feb. 16 in the New England Journal of Medicine. (2017-02-15)

Study confirms vitamin D protection against cold and flu
A new global collaborative study has confirmed that vitamin D supplementation can help protect against acute respiratory infections. The study, a participant data meta-analysis of 25 randomized controlled trials including more than 11,000 participants, has been published online in The BMJ. (2017-02-15)

1 in 4 ER visits for eye problems aren't actually emergencies, study finds
Pinkeye isn't a medical emergency. Neither is a puffy eyelid. But a new study finds that nearly one in four people who seek emergency care for eye problems have those mild conditions, and recommends ways to help those patients get the right level of care. (2017-02-15)

Giving the messages from fat cells a positive spin to prevent diabetes
A research team led by Children's National finds that losing weight through surgical approaches appears to reset chemical messages that fat cells send, substantially reducing people's risk of developing type 2 diabetes. (2017-02-08)

Researchers study care for undocumented immigrants with kidney failure
By failing to provide scheduled dialysis treatments to undocumented immigrants with kidney failure, states pay higher costs for care and the patients face greater pain and psychological distress, according to a new study appearing in the latest issue of the journal JAMA Internal Medicine. (2017-02-06)

Illness experience of undocumented immigrants with end-stage renal failure
A small study of undocumented immigrants with kidney failure reports that not having access to scheduled hemodialysis results in physical and psychological distress that impacts them and their families, according to a new article published online by JAMA Internal Medicine. (2017-02-06)

Research connects overeating during national sporting events to medical problems
People who overeat during national holidays and national sporting events -- like this weekend's Super Bowl -- are 10 times more likely to need emergency medical attention for food obstruction than any at other time of the year, according to a new study led by a University of Florida researcher. (2017-02-03)

Peroxide ingestion, promoted by alternative medicine, can be deadly
High-concentration peroxide, sometimes promoted in alternative medicine circles for cleanses or as a so-called 'natural cure,' can lead to numerous life-threatening ailments and death itself, according to a paper published online yesterday in Annals of Emergency Medicine ('Outcomes Following High Concentration Peroxide Ingestions'). (2017-02-02)

10,000 Medicare patients die in the seven days after discharge from the ED
Researchers found that, each year, about 10,000 generally healthy patients die in the seven days after discharge from the ED. (2017-02-01)

Increased food assistance benefits could result in fewer ER visits
According to the US Department of Agriculture, SNAP benefits reduced the incidence of extreme poverty by 13.2 percent and child poverty by 15.5 percent between 2000 and 2009. Now, researchers from the University of Missouri have found that SNAP benefits also may be beneficial in reducing visits to the emergency room, saving money for families, health care facilities and taxpayers. (2017-02-01)

Seeing the same GP associated with fewer hospital admissions
Older patients who see the same general practitioner over time experience fewer avoidable admissions to hospital for certain conditions, finds a study published by The BMJ today. (2017-02-01)

Lung ultrasound can help doctors see other diseases that mask as lethal clots in lung
Lung ultrasound can show alternative diagnoses and should be considered when evaluating patients with suspected pulmonary embolism. (2017-01-31)

Temple launches Center of Excellence to address opioid use in pregnancy
Pregnancy is a brief but powerful window of opportunity to identify and treat opioid addiction. However, drug treatment options are limited as many programs don't accept pregnant women, which can lead to continued drug use, withdrawal or harm to the developing fetus. Through an innovative partnership with Wedge Medical Center, Temple will work to narrow this treatment gap as a newly designated Center of Excellence which will serve more than 300 pregnant women each year. (2017-01-30)

Rule could take one-third of chest pain patients off emergency department heart monitors
Ottawa researchers have validated a rule that could safely take a third of chest pain patients in the emergency department off of heart monitors, according to a study published in the Canadian Medical Association Journal. Implementing this made-in-Ottawa rule could free up these monitored beds for sicker patients and reduce wait times. (2017-01-30)

IV contrast for CT is not associated with increased risk of acute kidney injury
Intravenous contrast media (typically iohexol or iodixanol) used in computed tomography (CT) does not appear to be associated with chronic kidney disease, dialysis, kidney transplant or acute kidney injury, despite long-held fears to the contrary. The results of the largest controlled study of acute kidney injury following contrast media administration in the emergency department were published online yesterday in Annals of Emergency Medicine ('Risk of Acute Kidney Injury Following Intravenous Contrast Media Administration'). (2017-01-26)

Half of breast cancer patients experience severe side effects
Nearly half of women treated for early stage breast cancer reported at least one side effect from their treatment that was severe or very severe, a new study finds. (2017-01-24)

New health care model cut costs and reduced need for medical services for pregnant women and newborn
In a study to be presented Friday, Jan. 27, in the oral concurrent session at 1:15 p.m. PST, at the Society for Maternal-Fetal Medicine's annual meeting, The Pregnancy Meeting™, researchers will present their findings for a study titled, Pregnancy medical home: Outcomes and cost-savings. (2017-01-23)

Opportunities for addiction care and HIV prevention in Russia
Researchers from Boston Medical Center (BMC), in collaboration with Brandeis University and Washington State University, conducted a study to estimate costs and reduction in disease burden if this treatment were available in Russia and implemented into their health care system. (2017-01-20)

Gunshot victims in Cook County 'under-triaged' to community hospitals
Only one in six Cook County gunshot patients with injuries serious enough for treatment in a designated trauma center are taken to these specialized hospitals, according to a new report in JAMA Surgery. (2017-01-18)

International effort announced to try to save the world's most endangered marine mammal
An ambitious, emergency plan to help save the vaquita porpoise from extinction in the northern Gulf of California has been recommended by the International Committee for the Recovery of the Vaquita (CIRVA). The plan involves relocating some of the remaining vaquitas to a temporary sanctuary, while crucial efforts aimed at eliminating illegal fishing and removing gillnets from their environment continue. (2017-01-18)

Patients face 'surprise' medical bills from out-of-network specialists
The average anesthesiologist, emergency physician, pathologist and radiologist charge more than four times what Medicare pays for similar services, often leaving privately insured consumers stuck with surprise medical bills that are much higher than they anticipated, new research in JAMA suggests. (2017-01-17)

Cost, technology issues are barriers to real-time cancer patient symptom reporting
In a perspective published in the New England Journal of Medicine, UNC Lineberger Comprehensive Cancer Center researcher Ethan Basch, M.D., M.Sc., addressed the need for -- and the barriers preventing -- electronic reporting of patients' symptoms between visits. (2017-01-11)

Hospitals are less likely to admit publicly insured children, but outcomes aren't affected
Hospitals are less likely to admit children covered by public insurance such as Medicaid than privately insured children with similar symptoms, especially when hospitals beds are scarce. But the disparity doesn't appear to affect health outcomes, according to Princeton University researchers. (2017-01-10)

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