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Here are what the editors at HealthDay consider to be the most important developments in Emergency Medicine for September 2018. 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.
FRIDAY, Sept. 28, 2018 -- More than half of physicians experience burnout, and many do not seek treatment for burnout, according to a report published in the American Medical Association's AMA Wire.
FRIDAY, Sept. 28, 2018 -- The prevalence of traumatic brain injury (TBI) is 2.5 percent among U.S. children, and TBI is associated with several health conditions, according to a study published online Sept. 24 in JAMA Pediatrics.
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THURSDAY, Sept. 27, 2018 -- Having a Master of Business Administration degree (M.B.A.) can help doctors with important, practice-related decisions, according to a report published recently in Physician Practice.
THURSDAY, Sept. 27, 2018 -- Influenza was deadlier last season than it has been for at least four decades, killing 80,000 Americans. So said the head of the U.S. Centers for Disease Control and Prevention late Tuesday in an interview with the Associated Press.
THURSDAY, Sept. 27, 2018 -- In a rare bipartisan move, both the House and Senate have reached a compromise on legislation to address the opioid epidemic.
THURSDAY, Sept. 27, 2018 -- A total of 135 people across 36 states fell ill with Salmonella after eating Kellogg's Honey Smacks cereal, according to a final update from the U.S. Centers for Disease Control and Prevention.
THURSDAY, Sept. 27, 2018 -- For pediatric patients with in-hospital cardiac arrest (IHCA), time to first defibrillation attempt is not associated with survival, according to a study published online Sept. 21 in JAMA Network Open.
THURSDAY, Sept. 27, 2018 -- Medical practices can take steps to avoid problems related to use of social media by staff members, according to an article published in Medical Economics.
WEDNESDAY, Sept. 26, 2018 -- Symptoms of burnout and career choice regret are prevalent among U.S. resident physicians, according to a study published in the Sept. 18 issue of the Journal of the American Medical Association.
WEDNESDAY, Sept. 26, 2018 -- From 2006 through 2013, the weighted estimate of lawn-mower-related injuries was 51,151, with the most common injuries being lacerations, fractures, and amputations, according to a study published online Aug. 1 in Public Health Reports.
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WEDNESDAY, Sept. 26, 2018 -- Use of a decision aid can improve parent knowledge for children with minor head injury at intermediate risk of clinically important traumatic brain injury (ciTBI), according to a study published online Sept. 21 in JAMA Network Open.
TUESDAY, Sept. 25, 2018 -- The cumulative incidence of appendicitis recurrence within five years is 39.1 percent among patients with uncomplicated acute appendicitis initially treated with antibiotics, according to research published in the Sept. 25 issue of the Journal of the American Medical Association.
TUESDAY, Sept. 25, 2018 -- From 2013 to 2016 there was a reduction in uninsurance among Americans from 17 to 10 percent, according to a report published in September by the Robert Wood Johnson Foundation (RWJF) and the Urban Institute.
TUESDAY, Sept. 25, 2018 -- Physician-group accountable care organizations (ACOs) participating in the Medicare Shared Savings Program (MSSP) generated significantly more savings for Medicare that grew from 2012 to 2015 compared with hospital-integrated ACOs, according to research published in the Sept. 20 issue of the New England Journal of Medicine.
MONDAY, Sept. 24, 2018 -- Emergency department interpreters are vital to quality care, according to an article published in the October issue of the Annals of Emergency Medicine.
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MONDAY, Sept. 24, 2018 -- Gender nonconformity (GNC) is associated with mental distress for female and male students, according to a study published online Sept. 24 in JAMA Pediatrics.
MONDAY, Sept. 24, 2018 -- Since at least 1979, there has been an exponential increase in the overall mortality rate for unintentional drug poisonings, according to a research article published online Sept. 21 in Science.
MONDAY, Sept. 24, 2018 -- Patients with advanced heart failure enrolled in hospice have fewer emergency department visits, hospital days, and intensive care unit (ICU) stays, according to a study published in the September issue of JACC: Heart Failure.
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FRIDAY, Sept. 21, 2018 -- More than 132,000 pounds of ground beef have been recalled by a Colorado company following a suspected outbreak where one person was killed and 17 were sickened by Escherichia coli after eating the meat.
FRIDAY, Sept. 21, 2018 -- Every nine minutes, a patient in a U.S. hospital dies because a diagnosis was wrong or delayed -- resulting in 80,000 deaths a year. That sobering estimate comes from the Society to Improve Diagnosis in Medicine (SIDM).
FRIDAY, Sept. 21, 2018 -- For children with traumatic epidural hematomas (EDHs), repeated computed tomography (CT) imaging is common, but rarely impacts management, according to a study published in the September issue of Pediatrics.
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FRIDAY, Sept. 21, 2018 -- More people are wounded and killed in active shooter incidents in which semiautomatic rifles are used, according to a research letter published in the Sept. 11 issue of the Journal of the American Medical Association.
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THURSDAY, Sept. 20, 2018 -- Physician burnout is associated with increased risk of patient safety incidents, poorer quality of care due to low professionalism, and reduced patient satisfaction, according to a review published online Sept. 4 in JAMA Internal Medicine.
THURSDAY, Sept. 20, 2018 -- Black males were at the highest risk of legal intervention injury per capita from 2005 to 2015, according to a study published online Sept. 14 in JAMA Network Open.
THURSDAY, Sept. 20, 2018 -- On average, hospitals mark up drugs by 479 percent of their cost, according to a report from The Moran Company, commissioned by the Pharmaceutical Research and Manufacturers of America (PhRMA).
THURSDAY, Sept. 20, 2018 -- Although there are many demands on residents, taking advantage of paid vacation time is one of the perks and should be maximized, according to an article published in the American Medical Association's AMA Wire.
WEDNESDAY, Sept. 19, 2018 -- Almost 20 percent of children and adolescents used prescription medications in 2013 to 2014, and 8.2 percent of concurrent users of prescription medications in 2009 to 2014 were at risk for a potentially major drug-drug interactions (DDIs), according to a study published in the September issue of Pediatrics.
WEDNESDAY, Sept. 19, 2018 -- The most common electronically sent and received types of patient health information (PHI) include laboratory results and medication lists, according to a report published Aug. 15 by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.
WEDNESDAY, Sept. 19, 2018 -- States may be greatly underestimating the effect of opioid-related overdose deaths because of incomplete cause-of-death reporting, according to a study recently published in Public Health Reports.
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WEDNESDAY, Sept. 19, 2018 -- In 2016 the age-standardized prevalence of insufficient physical activity was 27.5 percent, according to a study published in the October issue of The Lancet Global Health.
TUESDAY, Sept. 18, 2018 -- The Senate on Monday passed on a 99-1 vote legislation aimed at curbing the nation's ongoing opioid addiction crisis.
TUESDAY, Sept. 18, 2018 -- Use of medical scribes is associated with decreased physician documentation burden, improved work efficiency, and improved patient interactions, according to a study published online Sept. 17 in JAMA Internal Medicine.
TUESDAY, Sept. 18, 2018 -- Prices for drugs under shortage increase more than twice as quickly as expected in the absence of a shortage, according to a research letter published online Sept. 18 in the Annals of Internal Medicine.
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TUESDAY, Sept. 18, 2018 -- Half of trials on the European Union Clinical Trials Register (EUCTR) are non-compliant with the European Commission's requirement that all trials post results to the registry within 12 month of completion, according to a study published online Sept. 13 in The BMJ.
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MONDAY, Sept. 17, 2018 -- Following implementation of a federal mandatory safety standard on infant walkers in 2010, there was a decrease in the number of infant walker-related injuries, according to a study published online Sept. 17 in Pediatrics.
MONDAY, Sept. 17, 2018 -- The high mercury (Hg) concentration contained in traditional Tibetan medicine (TTM) could be harmful to humans and contribute to the environmental Hg burden in Tibet, according to a study published in the Aug. 7 issue of Environmental Science & Technology.
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MONDAY, Sept. 17, 2018 -- Association health plans (AHPs) will provide small businesses with more choices, access, and coverage options, although critics warn that they may undermine the Affordable Care Act (ACA) marketplace, according to an article published in Managed Healthcare Executive.
MONDAY, Sept. 17, 2018 -- Ambient particulate matter concentrations are associated with emergency/urgent care visits among individuals with asthma, according to a study published in the Aug. 1 issue of the Annals of the American Thoracic Society.
FRIDAY, Sept. 14, 2018 -- At least 334 people in 47 states have been sickened in Salmonella outbreaks linked to contact with live poultry in backyard flocks, according to the U.S. Centers for Disease Control and Prevention.
FRIDAY, Sept. 14, 2018 -- Bisexual females and "not sure" male students report higher prevalences for many sexual risk behaviors than heterosexual students, according to research published in the Sept. 14 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.
FRIDAY, Sept. 14, 2018 -- Extreme flooding, such as was seen in Hurricane Harvey, can increase exposure to pathogens, according to a research letter published recently in Environmental Science & Technology.
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FRIDAY, Sept. 14, 2018 -- How a situation is framed and the language used to describe risks can influence patients' decision-making, according to an article published in Physicians Practice.
THURSDAY, Sept. 13, 2018 -- Firearm deaths increased globally between 1990 and 2016, according to a study published in the Aug. 28 issue of the Journal of the American Medical Association.
THURSDAY, Sept. 13, 2018 -- A score based on the results of three laboratory tests has higher sensitivity and specificity than cardiac troponin alone for stratifying patients presenting with suspected acute coronary syndrome, according to a study published online Aug. 19 in CMAJ, the journal of the Canadian Medical Association.
THURSDAY, Sept. 13, 2018 -- Proper training and post-incident steps can help lessen the secondary trauma health professionals experience providing care during mass casualty incidents (MCIs), according to an article published in the American Medical Association's AMA Wire.
THURSDAY, Sept. 13, 2018 -- A correct diagnosis of resistant hypertension is necessary to avoid overmedicating, according to a scientific statement from the American Heart Association published online Sept. 13 in Hypertension.
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THURSDAY, Sept. 13, 2018 -- Lesbian, gay, and bisexual (LGB) adults report continued problems affording care despite coverage gains offered by the Affordable Care Act, according to a study published in the August issue of Health Affairs.
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WEDNESDAY, Sept. 12, 2018 -- Proportional mortality ratios (PMRs) for heroin-related overdose deaths and methadone-related overdose deaths from 2007 to 2012 were highest among construction workers, according to research published in the Aug. 24 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.
WEDNESDAY, Sept. 12, 2018 -- Medical residents can take steps to maintain their energy and alertness during long shifts, according to an article published in the American Medical Association's AMA Wire.
WEDNESDAY, Sept. 12, 2018 -- A six-step analysis can help redesign and improve the outpatient health care process, according to a study recently published in the Journal of Evaluation in Clinical Practice.
TUESDAY, Sept. 11, 2018 -- A negative chest radiograph (CXR) accurately excludes pneumonia in the majority of children, according to a study published in the September issue of Pediatrics.
TUESDAY, Sept. 11, 2018 -- Close to 20 percent of marijuana products in California have failed to pass tests for potency or purity since the state began mandating such testing July 1, a new report finds.
TUESDAY, Sept. 11, 2018 -- Tai chi is more effective than conventional exercise at preventing falls among high-risk, older adults, according to a study published online Sept. 10 in JAMA Internal Medicine.
TUESDAY, Sept. 11, 2018 -- From 2008 through 2015, there was a substantial shift in venue in which acute care for low-acuity conditions was sought, according to a study published online Sept. 4 in JAMA Internal Medicine.
TUESDAY, Sept. 11, 2018 -- Medicaid work requirements will only impact a small proportion of persons and may only generate minimal savings, according to two research letters published online Sept. 10 in JAMA Internal Medicine.
TUESDAY, Sept. 11, 2018 -- The median data age in clinical trials in journals with a high impact factor is about three years at publication, according to a study published in the Aug. 10 issue of JAMA Network Open.
MONDAY, Sept. 10, 2018 -- Doctors can use Twitter to build networks and learn more about research in real time, according to a blog post published by Penn Medicine News.
MONDAY, Sept. 10, 2018 -- A one-time nurse-led telephone call does not decrease the 30-day reutilization rate of urgent health care services in children discharged from the hospital, according to a study published in the Sept. 4 issue of JAMA: Pediatrics.
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MONDAY, Sept. 10, 2018 -- From July 2016 to June 2017, bystanders were documented in 44 percent of opioid overdose deaths, but naloxone was rarely administered by a layperson, according to a study published Aug. 31 in Morbidity and Mortality Weekly Report.
MONDAY, Sept. 10, 2018 -- Physicians and consumers agree on the benefits of virtual care, but physician adoption of virtual care technologies is low, according to a report on the Deloitte 2018 Survey of U.S. Physicians.
MONDAY, Sept. 10, 2018 -- Nearly half of physicians report being burned out, but rates vary substantially by medical specialty, according to an article published in AMA Wire.
FRIDAY, Sept. 7, 2018 -- The mysterious illness that kept a plane away from the terminal after some passengers reported feeling sick has been confirmed as the flu, according to the New York City Department of Health and Mental Hygiene.
FRIDAY, Sept. 7, 2018 -- Among surgical patients who develop new persistent opioid use, surgeons provide the majority of opioid prescriptions in the first few months after surgery, but by nine to 12 months post-surgery, most prescriptions are from primary care providers, according to a study recently published in the Journal of General Internal Medicine.
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FRIDAY, Sept. 7, 2018 -- Most cardiac fatalities among firefighters have evidence of coronary heart disease and increased heart mass, according to a study published online Sept. 5 in the Journal of the American Heart Association.
FRIDAY, Sept. 7, 2018 -- Routine X-rays and blood tests should not be used to diagnose children's concussions, new U.S. government guidelines say. The guidelines were published online Sept. 4 in JAMA Pediatrics.
FRIDAY, Sept. 7, 2018 -- The weighting systems that underlie hospital performance rating tools should incorporate the needs, values, and preferences of patients, according to a perspective article published in the Aug. 30 issue of the New England Journal of Medicine.
THURSDAY, Sept. 6, 2018 -- High-quality health care needs to be provided to lesbian, gay, bisexual, transgender, and queer (LGBTQ) patients, and improved training is necessary to deliver that care, according to a report published in the American Medical Association's AMA Wire.
THURSDAY, Sept. 6, 2018 -- A $3.4 million grant to help a non-profit company develop a less expensive opioid overdose antidote was announced by Purdue Pharma, which makes the opioid painkiller OxyContin.
THURSDAY, Sept. 6, 2018 -- Three U.S. health care foundations and seven hospital groups have formed a generic drug company to combat high prices and chronic shortages of medicines.
THURSDAY, Sept. 6, 2018 -- Statin use is not associated with reduced risk of atherosclerotic cardiovascular disease (CVD) or all-cause mortality among older adults without type 2 diabetes, according to a study published online Sept. 5 in The BMJ.
THURSDAY, Sept. 6, 2018 -- The U.S. Centers for Disease Control and Prevention has established an evidence-based guideline for diagnosis and management of pediatric mild traumatic brain injury (mTBI). The guideline was published online Sept. 4 in JAMA Pediatrics.
WEDNESDAY, Sept. 5, 2018 -- The selective inhibitor of influenza cap-dependent endonuclease, baloxavir marboxil, is superior to placebo for alleviating influenza symptoms, according to a study published in the Sept. 6 issue of the New England Journal of Medicine.
WEDNESDAY, Sept. 5, 2018 -- One hundred thirty people across 36 states have now fallen ill with Salmonella after eating Kellogg's Honey Smacks cereal, according to the U.S. Centers for Disease Control and Prevention.
WEDNESDAY, Sept. 5, 2018 -- Emergency department providers need evidence-based strategies to identify and manage patients with opioid use disorder, according to a review published in the Annals of Emergency Medicine.
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WEDNESDAY, Sept. 5, 2018 -- The total excess mortality attributed to Hurricane Maria is estimated at 2,975 deaths, according to a report issued by George Washington University.
WEDNESDAY, Sept. 5, 2018 -- Uncertainty surrounds the future of the Public Service Loan Forgiveness (PSLF) program, according to an Ideas and Opinions article published online Aug. 28 in the Annals of Internal Medicine.
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TUESDAY, Sept. 4, 2018 -- Enrollment in high-deductible health plans (HDHPs) has increased among adults with employment-based insurance coverage, according to an August data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.
TUESDAY, Sept. 4, 2018 -- Nearly 2.3 million cases of chlamydia, gonorrhea, and syphilis were diagnosed in the United States in 2017, marking a fourth consecutive year of sharp increases in these sexually transmitted diseases (STDs), according to a report published by the U.S. Centers for Disease Control and Prevention.
Posted: October 2018