Current management of moderate to severe traumatic pneumothoraces: a survey of emergency clinicians.

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Traumatic pneumothoraces are present in one-fifth of multiple trauma victims. Traditional teaching mandates the insertion of a chest drain in the majority of cases. However, recent observational evidence suggests a […]

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Management of migraine in the emergency department: Findings from the 2010-2017 national hospital ambulatory medical care surveys.

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The study objective was to describe trends in the medical management of migraine in the emergency department (ED) using the 2010-2017 National Hospital Ambulatory Medical Care Survey (NHAMCS) datasets.Using the […]

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Utilization of the electrocardiogram in the pediatric emergency department.

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Review pediatric electrocardiogram (ECG) result severity classification and describe the utilization of ECG testing, and rate of clinically significant results, in the pediatric emergency department (PED).This was a review of […]

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Problems with interpreting troponins in chronic kidney disease patients for ruling out acute coronary syndrome.

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Chest pain is one of the most common reasons for emergency department visits worldwide, and troponins play a central role in diagnosing acute coronary syndrome (ACS) in these patients. Hence, […]

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The emergency department care for hemodialysis patient during the COVID-19 pandemic.

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The COVID-19 pandemic poses significant challenges to patients with end-stage kidney disease who receive treatment in outpatient dialysis centers. These patients represent a fragile population that is at higher risk […]

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Multicenter validation of the American Association for the Surgery of Trauma grading scale for acute cholecystitis.

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The American Association for the Surgery of Trauma (AAST) patient assessment committee has created grading systems for emergency general surgery diseases to assist with clinical decision making and risk adjustment […]

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Online forward triage during the COVID-19 outbreak.

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Health systems face major challenges during the COVID-19 pandemic with new information and challenges emerging daily and frequently changing guidelines. Online forward triage tools (OFTTs) provide useful information, direct patients […]

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Oxygen therapy and inpatient mortality in COPD exacerbation.

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In hospitalised patients with exacerbation of Chronic Obstructive Pulmonary Disease, European and British guidelines endorse oxygen target saturations of 88%-92%, with adjustment to 94%-98% if carbon dioxide levels are normal. […]

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Naloxone provision to emergency department patients recognized as high-risk for opioid use disorder.

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Patients with opioid use disorder (OUD) are at increased risk for overdose and death. Clinical practice guidelines and professional organization policy statements recommend providing naloxone to patients at risk for […]

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Effect of an Emergency Department Care Bundle on 30-Day Hospital Discharge and Survival Among Elderly Patients With Acute Heart Failure: The ELISABETH Randomized Clinical Trial.

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Clinical guidelines for the early management of acute heart failure in the emergency department (ED) setting are based on only moderate levels of evidence, with subsequent low adherence to these […]

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Association between COVID-19 diagnosis and presenting chief complaint from New York City triage data.

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New York City (NYC) is an epicenter of the COVID-19 pandemic in the United States. Proper triage of patients with possible COVID-19 via chief complaint is critical but not fully […]

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Effect of Implementing the Out-of-Hospital Traumatic Brain Injury Treatment Guidelines: The Excellence in Prehospital Injury Care for Children Study (EPIC4Kids).

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We evaluate the effect of implementing the out-of-hospital pediatric traumatic brain injury guidelines on outcomes in children with major traumatic brain injury.The Excellence in Prehospital Injury Care for Children study […]

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Assessment of ED triage of anaphylaxis patients based on the Emergency Severity Index.

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To describe the emergency department (ED) triage of anaphylaxis patients based on the Emergency Severity Index (ESI), assess the association between ESI triage level and ED epinephrine administration, and determine […]

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Language preference does not influence stroke patients’ symptom recognition or emergency care time metrics.

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Our objective was to determine whether acute ischemic stroke (AIS) patients’ language preference is associated with differences in time from symptom discovery to hospital arrival, activation of emergency medical services, […]

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After a century, Epinephrine’s role in cardiac arrest resuscitation remains controversial.

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Epinephrine is recommended in contemporary educational efforts by the American Heart Association (AHA) as central to adult Advanced Cardiac Life Support (ACLS). However, the International Liaison Committee on Resuscitation (ILCOR) […]

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First and last authorship by gender in emergency medicine publications- a comparison of 2008 vs. 2018.

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Recently, investigators reported that there remain substantial disparities in the proportion of women within emergency medicine (EM) who have achieved promotion to higher academic rankings, received grant funding, and attained […]

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A multifaceted intervention improves antibiotic stewardship for skin and soft tissues infections.

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Assess the effectiveness of a multifaceted stewardship intervention to reduce frequency and duration of inappropriate antibiotic use for emergency department (ED) patients with skin and soft tissue infections (SSTI). We […]

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Comparison of manual and mechanical chest compression techniques using cerebral oximetry in witnessed cardiac arrests at the emergency department: A prospective, randomized clinical study.

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We aimed to compare regional cerebral oxygen saturation (rSO2) levels during cardiopulmonary resuscitation (CPR), performed either manually or using a mechanical chest compression device (MCCD), in witnessed cardiac arrest cases […]

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Surge activation by the emergency department for COVID-19.

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In March 2020, the American College of Emergency Physicians (ACEP) published a national strategic plan for COVID-19, which provides general guidelines yet leaves logistical details for institutions to determine. Key […]

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Predictors of emergency department opioid administration and prescribing: A machine learning approach.

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The opioid epidemic has altered normative clinical perceptions on addressing both acute and chronic pain, particularly within the Emergency Department (ED) setting, where providers are now confronted with balancing pain […]

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Predictors of return visits to the emergency department among different age groups of older adults.

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To identify predictors of 30-day emergency department (ED) return visits in patients age 65-79 years and age ≥ 80 years.This was a cohort study of older adults who presented to the ED over a […]

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A systematic review of the causes and prevention strategies in reducing gun violence in the United States.

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Approximately 100 lives are lost each day as a result of gun violence in the United States (US) with civilian mass shootings increasing annually. The gun violence rate in the […]

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Retrospective analysis of the hemodynamic consequences of prehospital supplemental oxygen in acute stroke.

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Hyperoxia, the delivery of high levels of supplemental oxygen (sO2) despite normoxia, may increase cerebral oxygenation to penumbral tissue and improve stroke outcomes. However, it may also alter peripheral hemodynamic […]

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Risk factors associated with hospital admission in COVID-19 patients initially admitted to an observation unit.

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No set guidelines to guide disposition decisions from the emergency department (ED) in patients with COVID-19 exist. Our goal was to determine characteristics that identify patients at high risk for […]

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Strategies to prevent COVID-19 transmission in the emergency department of a regional base hospital in Korea: From index patient until pandemic declaration.

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This study aimed to describe the timely strategies used to prevent the spread of the emerging coronavirus disease 2019 (COVID-19) and present the activities performed in a regional base hospital […]

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Timing of thromboprophylaxis in patients with blunt abdominal solid organ injuries undergoing nonoperative management.

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Decision-making regarding the optimal timing for initiating thromboprophylaxis in patients with blunt abdominal solid organ injuries (BSOIs) remains ill-defined, with no guidelines defining optimal timing. In this study, we aimed […]

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Assessing the impact of CKD on outcomes in septic shock patients receiving standard Vs reduced initial fluid volume.

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To determine if following fluid resuscitation recommendations in the Surviving Sepsis Campaign guidelines affects hospital length of stay (LOS) in chronic kidney disease (CKD) patients who present to the emergency […]

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