EVALUATION AND MANAGEMENT OF BLUNT CEREBROVASCULAR INJURY: A PRACTICE MANAGEMENT GUIDELINE FROM THE EASTERN ASSOCIATION FOR THE SURGERY OF TRAUMA.

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Blunt cerebrovascular injuries (BCVIs) are associated with significant morbidity and mortality. This guideline evaluates several aspects of BCVI diagnosis and management including the role of screening protocols, criteria for screening […]

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Evaluating Target: Stroke guideline implementation on assessment and treatment times for patients with suspected stroke.

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Immediate ischemic stroke treatment improves outcomes and early alteplase administration is recommended for patients within window. We implemented stroke guidelines through a neuro-resuscitation initiative (NRI) and hypothesized that the intervention […]

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Reduction of Inappropriate Antibiotic Use and Improved Outcomes by Implementation of an Algorithm-Based Clinical Guideline for Nonpurulent Skin and Soft Tissue Infections.

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Clinicians currently do not reliably adhere to antibiotic treatment guidelines, resulting in unnecessary patient exposure to broad-spectrum antimicrobials. Our objective is to determine whether a treatment intervention for the management […]

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Evaluation of opioid requirements in the management of renal colic after guideline implementation in the emergency department.

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Evaluate opioid prescribing before and after emergency department (ED) renal colic guideline implementation focused on multi-modal pain management.Retrospective study of ED patients who received analgesia for urolithiasis before and after […]

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Computerized data mining analysis of keywords as indicators of the concepts in AHA-BLS guideline updates.

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Cardiopulmonary resuscitation (CPR) guidelines have been updated every 5¬†years since 2000. Significant changes have been made in each update, and every time a guideline is changed, the instructors of each […]

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Should we resuscitate elderly patients with blunt traumatic cardiac arrest? Analysis of National Trauma Registry Data in Japan.

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Abstract: Recent studies suggest that survival after traumatic cardiac arrest (TCA) has been improving. Many elderly adults enjoy active lifestyles, which occasionally result in TCA. The epidemiology and efficacy of […]

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Adverse Events of Novel Therapies for Hematologic Malignancies: What Emergency Physicians Should Know.

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Abstract: In the past decade, rapid advances in therapeutic target discovery in hematologic malignancies have led to many clinical studies demonstrating efficacy of novel agents. Between 2014 and 2018, Food […]

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Barriers and enablers that influence guideline-based care of geriatric fall patients presenting to the emergency department.

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Abstract: Geriatric patients commonly present to the ED after a fall. Recent evidence suggests that ED physicians are poorly adherent to published ED-specific geriatric fall guidelines. This study applied a […]

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Variations in access to specialty care for children with severe burns.

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Abstract: Pediatric burns account for 120,000 emergency department visits and 10,000 hospitalizations annually. The American Burn Association has guidelines regarding referrals to burn centers; however there is variation in burn […]

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Cool Running Water First Aid Decreases Skin Grafting Requirements in Pediatric Burns: A Cohort Study of Two Thousand Four Hundred Ninety-five Children.

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Abstract: First-aid guidelines recommend the administration of cool running water in the early management of thermal injury. Our objective is to analyze the associations between first aid and skin-grafting requirements […]

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Vancomycin dosing in critically ill trauma patients: The VANCTIC Study.

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Abstract: Current guidelines from the Infectious Diseases Society of America IDSA) and the American Society of Health-System Pharmacists (ASHP) recommend vancomycin troughs of 15 – 20mg/L for serious MRSA infections. […]

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ELDERLY ADULTS WITH ISOLATED HIP FRACTURES – ORTHOGERIATRIC CARE VERSUS STANDARD CARE: A PRACTICE MANAGEMENT GUIDELINE FROM THE EASTERN ASSOCIATION FOR THE SURGERY OF TRAUMA.

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Abstract: Elderly patients commonly suffer isolated hip fractures, causing significant morbidity and mortality. The use of orthogeriatrics (OG) management services, in which geriatric specialists primarily manage or co-manage patients after […]

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Life-Saving Interventions in Pediatric Trauma: A National Trauma Data Bank Experience.

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Abstract: Emergent procedures infrequent in pediatric trauma. We sought determine the frequency and efficacy of life-saving interventions (LSI) performed for pediatric trauma patients within the first hour of care at […]

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Random Forest Modeling Can Predict Infectious Complications Following Trauma Laparotomy.

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Abstract: Identifying clinical and biomarker profiles of trauma patients may facilitate the creation of models that predict postoperative complications. We sought to determine the utility of modeling for predicting severe […]

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Evaluation of infection rates with narrow versus broad-spectrum antibiotic regimens in civilian gunshot open-fracture injury.

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Abstract: Civilian gunshot open-fracture injuries portray a significant health burden to patients. Use of antibiotics is endorsed by guideline recommendations for the prevention of post-traumatic infections, however, antimicrobial selection and […]

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Improving STEMI management in the emergency department: Examining the role of minority groups and sociodemographic characteristics.

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Abstract: To evaluate whether a fast-track intervention program will reduce time-lags of patients with STEMI considering minority groups, various socioeconomic status (SES) and clinical risk factors.A retrospective-archive study was conducted […]

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Pedometer-measured physical activity among emergency physicians during shifts.

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Abstract: Tools to measure physical activity, such as pedometers, have become more prevalent and attracted popular interest in recent years. Despite this trend, research has not yet quantified pedometer-measured physical […]

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Antimotility Agents For The Treatment Of Acute Non-Infectious Diarrhea In Critically Ill Patients: A Practice Management Guideline From The Eastern Association For The Surgery Of Trauma.

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Acute non-infectious diarrhea is a common phenomenon in ICU patients. Multiple treatments are suggested but the most effective management is unknown. A working group of the Eastern Association for the Surgery of Trauma (EAST), aimed to evaluate the effectiveness of loperamide, diphenoxylate/atropine, and elemental diet on acute non-infectious diarrhea in critically ill adults and to develop recommendations applicable to daily clinical practice.The literature search identified 11 randomized controlled trials (RCT) appropriate for inclusion. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) methodology was applied to evaluate the effect of loperamide, diphenoxylate/atropine, and elemental diet on the resolution of non-infectious diarrhea in critically ill adults based on selected outcomes: improvement in clinical diarrhea, fecal frequency, time to the diarrhea resolution, and hospital length of stay.The level of evidence was assessed as very low. Analyses of 10 RCTs showed that loperamide facilitates resolution of diarrhea. Diphenoxylate/atropine was evaluated in three RCTs and was as effective as loperamide and more effective than placebo. No studies evaluating elemental diet as an intervention in patients with diarrhea were found.Loperamide and diphenoxylate/atropine are conditionally recommended to be used in critically ill patients with acute non-infectious diarrhea.Level IITherapeutic.

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Automatic proximal airway volume segmentation using optical coherence tomography for assessment of inhalation injury.

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Abstract: Acute respiratory distress syndrome (ARDS) is a severe form of acute lung injury with a mortality rate of up to 40%. Early management of ARDS has been difficult due […]

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Short versus long axis ultrasound guided approach for internal jugular vein cannulations: A prospective randomized controlled trial.

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Abstract: Ultrasound-guided internal jugular vein cannulation is a standard procedure performed in ICUs worldwide. According to the guidelines, the short-axis approach is recommended over the long-axis approach for IJV cannulation. […]

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