Leukopenia, neutropenia, and procalcitonin levels in young febrile infants with invasive bacterial infections
CONCLUSIONS: Leukopenia ≤2500 cells/μL in febrile infants ≤60 days old is associated with IBIs. However, in the presence of normal PCT levels, no patients with leukopenia had IBIs. While this suggests leukopenia ≤2500 cells/μL is a risk factor for IBIs in non-critically ill young febrile infants only when PCT is unavailable or elevated, the overall low frequency of leukopenia in this cohort warrants caution in interpretation, with future validation required.PMID:38661246 | DOI:10.1111/acem.14921 (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - April 25, 2024 Category: Emergency Medicine Authors: Andrew T Krack Michelle Eckerle Prashant Mahajan Octavio Ramilo John M VanBuren Russell K Banks T Charles Casper David Schnadower Nathan Kuppermann Febrile Infant Working Group of the Pediatric Emergency Care Applied Research Network (PECARN) Source Type: research

Atypical symptoms in emergency department patients with urosepsis challenge current urinary tract infection management guidelines
Acad Emerg Med. 2024 Apr 25. doi: 10.1111/acem.14914. Online ahead of print.NO ABSTRACTPMID:38661262 | DOI:10.1111/acem.14914 (Source: Accident and Emergency Nursing)
Source: Accident and Emergency Nursing - April 25, 2024 Category: Emergency Medicine Authors: Brett Biebelberg Iain E Kehoe Hui Zheng Abigail O'Connell Michael R Filbin Thomas Heldt Andrew T Reisner Source Type: research

Revisiting the Use of Deep Temporalis Fascia Grafts in Ophthalmology
CONCLUSIONS: DTF graft is a highly versatile graft that can be easily harvested. New indications for DTF grafts may include the repair of radiotherapy-induced scleral necrosis, the creation of oculomotor tendon and the temporary packing of large ocular tissue loss in an emergency context. Further studies with a longer follow-up are needed to confirm our preliminary results.PMID:38661124 | DOI:10.1080/08820538.2024.2346756 (Source: Seminars in Ophthalmology)
Source: Seminars in Ophthalmology - April 25, 2024 Category: Opthalmology Authors: Elena Razlog Alexandre Denoyer Stephanie Baillif Carl Arndt Xavier Dubernard Jean-Pierre Caujolle Sacha Nahon-Esteve Arnaud Martel Source Type: research

Trends in Suspected Opioid Drug Overdose Events in Emergency Medical Service Encounters in South Carolina, 2019-2022
CONCLUSIONS: Monitoring trends in suspected opioid drug overdoses allows decision makers to adjust resources and programs for overdose response and is essential for local coordinated response. Continued monitoring of trends is needed for an equitable response to prevent opioid drug overdoses.PMID:38659370 | DOI:10.1177/00333549241238697 (Source: Public Health Reports)
Source: Public Health Reports - April 25, 2024 Category: International Medicine & Public Health Authors: Marco Tori Christina Galardi Source Type: research

Strategies to Improve Emergency Transitions from Long-Term Care Facilities: A Scoping Review
DISCUSSION AND IMPLICATIONS: Mixed or non-significant results prevent us from recommending (or discouraging) any interventions. Given the complexity of these transitions and the need to create sustainable improvement strategies, future research should describe strategies used to embed innovations in care contexts and to measure both implementation and intervention success.PMID:38661440 | DOI:10.1093/geront/gnae036 (Source: The Gerontologist)
Source: The Gerontologist - April 25, 2024 Category: Geriatrics Authors: Kaitlyn Tate Greta Cummings Frode Jacobsen Gayle Halas Graziella Van den Bergh Rashmi Devkota Shovana Shrestha Malcolm Doupe Source Type: research

Bios-Ethics and the Bios Emergency: Finding the Real Work
This article presents a case for transforming traditional bioethics into "Bios-ethics." This exposition relies on three propositions: (1) the climate emergency is the "Bios emergency"; (2) in the Bios emergency, bioethics must be replaced by Bios-ethics; and (3) the top and overwhelming priority of Bios-ethics is to address the Bios emergency. Biocentrism, habitat, and environmental ethics are discussed in light of their contribution to the development of Bios-ethics, and potential lines of research in Bios-ethics are outlined. The urgency of undertaking substantive conceptual and practical innovations in response to our c...
Source: Perspectives in Biology and Medicine - April 25, 2024 Category: Medical Ethics Authors: David Schenck Source Type: research

2020: < em > what COVID taught us about women in medicine < /em >
Perspect Biol Med. 2023;66(3):461-467. doi: 10.1353/pbm.2023.a902038.ABSTRACTAs Vice Chair of Clinical Services of Psychiatry at the University of Colorado, I choose to work where clinical services need most attention. As a woman, I want to show up where we can be seen and show up in the best possible way. Just as COVID began, I found myself doing clinical shifts in the newly created psychiatry emergency room. I became part of a front-line team, where "I" became "We," facing an unknown enemy. Not only was my work life upended, but my personal life was too, as I rushed to help my daughter, a medical student, care for her so...
Source: Perspectives in Biology and Medicine - April 25, 2024 Category: Medical Ethics Authors: Alison M Heru Source Type: research

Herd Immunity: History, Concepts, and Ethical Rationale
This article provides a conceptual framework tailored to uncover the ethical rationale behind such strategies. Clarity on this issue is important in order to facilitate the terms of the political debate when tackling future health emergencies.PMID:38662008 | DOI:10.1353/pbm.2023.0003 (Source: Perspectives in Biology and Medicine)
Source: Perspectives in Biology and Medicine - April 25, 2024 Category: Medical Ethics Authors: Davide Vecchi Giorgio Airoldi Source Type: research

Time Savings and Safety of EMS Administration of Antibiotics for Open Fractures
CONCLUSIONS: EMS clinicians were able to safely administer antibiotics to patients with open fractures a median of 15 minutes before arrival at the hospital, and 99 percent of the patients receiving antibiotics had them administered within one hour of EMS dispatch. EMS administration of antibiotics may be a safe way to increase compliance with recommendations for early antibiotic administration for open fractures.PMID:38661320 | DOI:10.1080/10903127.2024.2347291 (Source: Rural Remote Health)
Source: Rural Remote Health - April 25, 2024 Category: Rural Health Authors: Alexander D Muniz Dominic J Gregorio Scott A Studebaker Aaron M Peth Cole G Camacho Bilie Williams Douglas F Kupas Lawrence H Brown Source Type: research

Time Savings and Safety of EMS Administration of Antibiotics for Open Fractures
CONCLUSIONS: EMS clinicians were able to safely administer antibiotics to patients with open fractures a median of 15 minutes before arrival at the hospital, and 99 percent of the patients receiving antibiotics had them administered within one hour of EMS dispatch. EMS administration of antibiotics may be a safe way to increase compliance with recommendations for early antibiotic administration for open fractures.PMID:38661320 | DOI:10.1080/10903127.2024.2347291 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - April 25, 2024 Category: Endocrinology Authors: Alexander D Muniz Dominic J Gregorio Scott A Studebaker Aaron M Peth Cole G Camacho Bilie Williams Douglas F Kupas Lawrence H Brown Source Type: research

Acute pleurisy mimicking neck pain in a young volleyball player: a case report
CONCLUSION: This case report highlights the importance of screening for serious pathology in direct access physiotherapy, irrespective of a prior physician consultation.PMID:38661029 | DOI:10.1080/09593985.2024.2336103 (Source: Physiotherapy Theory and Practice)
Source: Physiotherapy Theory and Practice - April 25, 2024 Category: Physiotherapy Authors: Gabriele Giannotta Virginia Lillo Matteo Cioeta Filippo Maselli Giuseppe Giovannico John Heick Source Type: research

Factors Associated with Early and Periodic Screening, Diagnostic, and Treatment Services in a Medicaid Managed Care Pediatric Population
J Health Care Poor Underserved. 2024;35(1):79-93.ABSTRACTEarly and Periodic Screening, Diagnostic, and Treatment (EPSDT) services is a Medicaid benefit for children that addresses their health problems before they become advanced, debilitating, and expensive. We conducted a retrospective cross-sectional analysis of pediatric beneficiaries (newborn to younger than 21 years) enrolled in a Medicaid managed care organization to examine the factors associated with EPSDT screening services completion. We obtained 2018 administrative claims data for beneficiaries continuously enrolled for a minimum of 90 days (n=156,108). Complet...
Source: Journal of Health Care for the Poor and Underserved - April 25, 2024 Category: International Medicine & Public Health Authors: Shamly Austin Zo Ramamonjiarivelo DeLawnia Comer-HaGans Yuan Zhang Source Type: research

COVID-19 ’s impact on drug overdose fatalities and urgent mental health care demand in the US
ConclusionsThis study offers critical insights into the correlation between the COVID-19 pandemic and drug overdose deaths in the US, which could serve as a valuable resource for future research and policy-making decisions. Consequently, it is imperative for emergency departments to be equipped and ready to deliver crucial care for adolescents confronted with mental health crises. (Source: Health and Technology)
Source: Health and Technology - April 25, 2024 Category: Information Technology Source Type: research

A retrospective analysis of mission reports in the national Swedish Police Registry on mountain rescue 2018 –2022: here be snowmobiles
Increasing mountain activity and decreasing participant preparedness, as well as climate change, suggest needs to tailor mountain rescue. In Sweden, previous medical research of these services are lacking. The... (Source: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine)
Source: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine - April 25, 2024 Category: Emergency Medicine Authors: Anton Westman and Johanna Bj örnstig Tags: Original research Source Type: research

Person Reference and a Preference for Association in Emergency Calls
. (Source: Research on Language and Social Interaction)
Source: Research on Language and Social Interaction - April 25, 2024 Category: Psychiatry & Psychology Authors: Emma TennentAnn Weatheralla Department of Media and Communication, Victoria University of Wellington, New Zealandb Department of Psychology, University of Bedfordshire, UK Source Type: research