Serratus Anterior Plane Blocks for Early Rib Fracture Pain Management
This randomized clinical trial assesses whether the addition of a serratus anterior plane block to emergency department protocolized care bundles increases the likelihood of early favorable analgesic outcomes and reduces opioid requirements in patients with rib fractures in Australia. (Source: JAMA Surgery)
Source: JAMA Surgery - May 1, 2024 Category: Sports Medicine Source Type: research
Characteristics and outcomes of patients with symptomatic chronic myocardial injury in a Tanzanian emergency department: A prospective observational study
by Faraan O. Rahim, Francis M. Sakita, Lauren A. Coaxum, Godfrey L. Kweka, Zak Loring, Jerome J. Mlangi, Sophie W. Galson, Tumsifu G. Tarimo, Gloria Temu, Gerald S. Bloomfield, Julian T Hertz
BackgroundChronic myocardial injury is a condition defined by stably elevated cardiac biomarkers without acute myocardial ischemia. Although studies from high-income countries have reported that chronic myocardial injury predicts adverse prognosis, there are no published data about the condition in sub-Saharan Africa. MethodsBetween November 2020 and January 2023, adult patients with chest pain or shortness of breath were recruited fr...
Source: PLoS One - May 1, 2024 Category: Biomedical Science Authors: Faraan O. Rahim Source Type: research
Retrospective study investigating naloxone prescribing and cost in US Medicaid and Medicare patients
Conclusions
This pronounced increase in the number of naloxone prescriptions to Medicaid patients from 2018 to 2021 indicates a national response to this widespread public health emergency. Further research into the origins of the pronounced state-level disparities is warranted. (Source: BMJ Open)
Source: BMJ Open - May 1, 2024 Category: General Medicine Authors: Manko, C. D., Ahmed, M. S., Harrison, L. R., Kodavatiganti, S. A., Lugo, N., Konadu, J. O., Khan, F., Massari, C. A., Sealey, T. K., Addison, M. E., Mbah, C. N., McCall, K. L., Fraiman, J. B., Piper, B. J. Tags: Open access, Pharmacology and therapeutics Source Type: research
Multimodality imaging in cerebral venous thrombosis: a synopsis for emergency radiologist
AbstractCerebral venous thrombosis (CVT) is an uncommon but potentially fatal condition which presents with a wide range of symptoms. Some of these presenting features are vague thus contributing to the delay in diagnosis. A prompt diagnosis and initiation of appropriate therapy are therefore of paramount importance. In this pictorial, we have tried to illustrate the direct and indirect imaging features of CVT in detail on multiple imaging modalities, along with the potential pitfalls of imaging. (Source: Japanese Journal of Radiology)
Source: Japanese Journal of Radiology - May 1, 2024 Category: Radiology Source Type: research
New Developments in Psychiatric Boarding in Emergency Departments
In July 2023, the New Hampshire Department of Health and Human Services and a group of New Hampshire hospitals reached a settlement in a 5-year-long legal dispute over the practice of psychiatric boarding in hospital emergency departments. The hospitals successfully made the novel argument that boarding violates their rights, as well as those of patients. The case is a new and significant development in the legal battles among patients, advocates, hospitals, and states that have arisen as psychiatric boarding remains a pervasive challenge in American emergency departments. (Source: Mayo Clinic Proceedings)
Source: Mayo Clinic Proceedings - May 1, 2024 Category: Internal Medicine Authors: Michael J. Redinger, Tyler S. Gibb, Kathryn E. Redinger Tags: Commentary Source Type: research
Start Right, Stay Well: Piloting a Screening Tool for Dysphagia and Medication Management for Patients with Parkinson's in the Emergency Department
Background: The Speech and Language Therapy (SLT) Department at Buckinghamshire Healthcare NHS Trust embarked on a pioneering project. The goal: to develop and pilot a new swallow screening tool specifically designed for Parkinson's patients in the Emergency Department (ED). By reducing hospital stays and addressing swallowing difficulties early on, the new tool has the potential to significantly enhance the quality of life for this vulnerable population. (Source: Parkinsonism and Related Disorders)
Source: Parkinsonism and Related Disorders - May 1, 2024 Category: Neurology Authors: H. Hornby Source Type: research
Mycophenolate-induced colitis in a patient with lupus nephritis: a case report and review of the literature
ConclusionThe purpose of this paper is to report a case of early-onset MMF-induced colitis in a patient with lupus nephritis who had started MMF as induction therapy. A review of the available literature on this uncommon immunosuppressive effect is also presented. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - May 1, 2024 Category: General Medicine Source Type: research
SIRT6 in Regulation of Mitochondrial Damage and Associated Cardiac Dysfunctions: A Possible Therapeutic Target for CVDs
Cardiovasc Toxicol. 2024 Apr 30. doi: 10.1007/s12012-024-09858-1. Online ahead of print.ABSTRACTCardiovascular diseases (CVDs) can be described as a global health emergency imploring possible prevention strategies. Although the pathogenesis of CVDs has been extensively studied, the role of mitochondrial dysfunction in CVD development has yet to be investigated. Diabetic cardiomyopathy, ischemic-reperfusion injury, and heart failure are some of the CVDs resulting from mitochondrial dysfunction Recent evidence from the research states that any dysfunction of mitochondria has an impact on metabolic alteration, eventually caus...
Source: Cardiovascular Toxicology - April 30, 2024 Category: Cardiology Authors: K P Divya Navjot Kanwar P V Anuranjana Gautam Kumar Fathima Beegum Krupa Thankam George Nitesh Kumar K Nandakumar Abhinav Kanwal Source Type: research
Underreporting Supplements: A Case of Drug-induced Liver Injury Due to a Testosterone Booster
Mil Med. 2024 Apr 30:usae136. doi: 10.1093/milmed/usae136. Online ahead of print.ABSTRACTAcute liver injuries (ALIs) are caused by a wide range of etiologies, and determining the cause can often be challenging. Detailed history taking is essential in patients with liver injuries to promptly determine the underlying source of injury and for timely treatment and prognosis. A 27-year-old active duty man presented to the emergency department (ED) with jaundice. On medication reconciliation, he only reported taking acetaminophen for a recent upper respiratory infection. The patient had an ALI and was treated with N-acetyl cyste...
Source: Military Medicine - April 30, 2024 Category: International Medicine & Public Health Authors: Ashna Manhas Casey Genevieve Arnold Allison Marie Bush Source Type: research
Preparing Future Military Medical Officers to Conduct Emergency Fresh Whole Blood Transfusions in Austere Environments: A Novel Training Curriculum
CONCLUSIONS: Our results suggest that the implementation of streamlined EFWBT training into the undergraduate medical education of future military medical officers offers an efficient way to improve their baseline proficiency in EFWBTs. Future research is needed to assess the impact of this training on real-world applications in forward-deployed environments.PMID:38687599 | DOI:10.1093/milmed/usae162 (Source: Military Medicine)
Source: Military Medicine - April 30, 2024 Category: International Medicine & Public Health Authors: Kevin J Matthews Samuel Walther Zachery L Brown Joshua P Cuestas Jonathan T Shumaker Durwood W Moore Rebekah Cole Source Type: research
Prehospital Treatment of Atrial Fibrillation: Infusion Pump for Bolus and Infusion?
Conclusion: Our results show no significant differences in HR control or need for repeat bolus at the ED with the use of a diltiazem infusion following a diltiazem bolus. However, even when administering larger boluses, the use of an infusion pump resulted in less hypotension.PMID:38687280 | DOI:10.1080/10903127.2024.2349745 (Source: Prehospital Emergency Care)
Source: Prehospital Emergency Care - April 30, 2024 Category: Endocrinology Authors: Michael Berkenbush Nicholas Sherman Nikhil Jain Peter Cosmi Source Type: research
Social Work Responses to the COVID-19 Pandemic in Nepal: Current Practices and Future Considerations
Soc Work Public Health. 2024 Apr 30:1-12. doi: 10.1080/19371918.2024.2346119. Online ahead of print.ABSTRACTThis paper examines the findings of a small qualitative study focusing on two virtual discussions facilitated by the Social Workers' Association Nepal (SWAN) in May and June 2020 and follow-up interviews conducted with the participants during June 2020. The aim of these discussions and follow-up interviews was to examine the role of social workers in responding to the COVID-19 pandemic in Nepal. Seven social work practitioners (including Master's of Social Work graduates (n = 3), PhD student (n = 1), and social work ...
Source: Social Work in Public Health - April 30, 2024 Category: International Medicine & Public Health Authors: Rajesh Bhusal Stephen Larmar Source Type: research
Comparing the Emergency Care of Iranian and Afghan Patients During the COVID-19 Pandemic
CONCLUSION: Afghan nationals admitted to the hospital due to traumas were more likely to be admitted to ICUs or die compared to Iranian citizens. It seems that Afghan patients who had traumas went to the hospitals with more serious injuries. There was no difference between Afghan and Iranian patients in terms of COVID-19 consequences. Following the findings of this study, it seems that justice in treatment has been fully established for Afghan patients in Iran.PMID:38685839 | DOI:10.34172/aim.2024.22 (Source: Archives of Iranian Medicine)
Source: Archives of Iranian Medicine - April 30, 2024 Category: Middle East Health Authors: Milad Ahmadi Gohari Maryam Chegeni Mohammad Hossein Mehrolhassani Ali Akbar Haghdoost Moghaddameh Mirzaee Source Type: research
Reduced Immunogenicity of COVID-19 Vaccine in Obese Patients with Type 2 Diabetes: A Cross-Sectional Study
Acta Med Okayama. 2024 Apr;78(2):185-191. doi: 10.18926/AMO/66927.ABSTRACTThe global pandemic of coronavirus infection 2019 (COVID-19) was an unprecedented public health emergency. Several clinical studies reported that heart disease, lung disease, diabetes, hypertension, dyslipidemia, and obesity are critical risk factors for increased severity of and hospitalization for COVID-19. This is largely because patients with these underlying medical conditions can show poor immune responses to the COVID-19 vaccinations. Diabetes is one of the underlying conditions most highly associated with COVID-19 susceptibility and is consid...
Source: Acta Medica Okayama - April 30, 2024 Category: General Medicine Authors: Hiroko Takahashi Jun Eguchi Mayu Watanabe Masanori Nakayama Jun Wada Source Type: research
Hyperkalemia Recurrence Following Medical Nutrition Therapy in Patients with Stage 3-4 Chronic Kidney Disease: The REVOLUTIONIZE I Real-World Study
CONCLUSION: Most patients with stage 3-4 CKD had hyperkalemia recurrence, and MNT alone was inadequate to prevent recurrence. These patients may require additional long-term treatment, such as novel potassium binders, to maintain normokalemia and prevent hyperkalemia recurrence following MNT. Infographic available for this article. INFOGRAPHIC.PMID:38687454 | DOI:10.1007/s12325-024-02835-8 (Source: Adv Data)
Source: Adv Data - April 30, 2024 Category: Epidemiology Authors: Christopher G Rowan Abiy Agiro K Arnold Chan Ellen Colman Katie White Pooja Desai Jamie P Dwyer Source Type: research
