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

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

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

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.

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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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.

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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The utility of a statewide prescription drug-monitoring database vs the Current Opioid Misuse Measure for identifying drug-aberrant behaviors in emergency department patients already on opioids.

Abstract: The most recent guidelines on prescribing opioids from the United States Centers for Disease Control recommend that clinicians not prescribe opioids as first-line therapy for chronic non-cancer pain. If […]

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