Further Optimizing tPA Use in Ischemic StrokeFurther Optimizing tPA Use in Ischemic Stroke
Dr Hans Christoph-Diener discusses a study looking at how time of treatment, age, and stroke severity affects outcomes in those treated with rtPA. Medscape Neurology (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - October 16, 2014 Category: Emergency Medicine Tags: Neurology & Neurosurgery Commentary Source Type: news

New Overuse Injury Identified in Young Baseball PitchersNew Overuse Injury Identified in Young Baseball Pitchers
Young baseball players who threw more than 100 pitches per week ran the risk for a newly identified injury, acromial apophysiolysis, according to a new study. Medscape Medical News (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - October 15, 2014 Category: Emergency Medicine Tags: Orthopaedics News Source Type: news

Evaluating Patients for Ebola: CDC Recommendations for CliniciansEvaluating Patients for Ebola: CDC Recommendations for Clinicians
Clinicians are advised to increase their vigilance in inquiring about a history of travel to West Africa in the 21 days before illness onset, among other recommendations. Medscape Medical News (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - October 4, 2014 Category: Emergency Medicine Tags: Infectious Diseases News Source Type: news

Can a Family Nurse Practitioner Work in the ED or ICU?Can a Family Nurse Practitioner Work in the ED or ICU?
Does an FNP have the credentials and training to practice in an emergency or critical care setting? Medscape Nurses (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - October 2, 2014 Category: Emergency Medicine Tags: Nursing Ask the Expert Source Type: news

FDA Clears Rapid Blood Test for Sepsis-Causing PathogensFDA Clears Rapid Blood Test for Sepsis-Causing Pathogens
The T2Candida blood test identifies 5 Candida species in a matter of hours, rather than days, leading to earlier initiation of appropriate treatment. FDA Approvals (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - September 24, 2014 Category: Emergency Medicine Tags: Infectious Diseases News Alert Source Type: news

What Makes Hospital Patients Turn Violent?What Makes Hospital Patients Turn Violent?
It's common for patients to come into a hospital with injuries, but too often they're the ones inflicting injury on nurses, technicians and security guards, according to a new study. Reuters Health Information (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - September 23, 2014 Category: Emergency Medicine Tags: Psychiatry News Source Type: news

Surviving Sepsis Campaign: The TakeawaysSurviving Sepsis Campaign: The Takeaways
If your facility hasn't adopted the third-edition bundles from the Surviving Sepsis Campaign, here are the details you need. CDC Expert Commentary (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - September 11, 2014 Category: Emergency Medicine Tags: Infectious Diseases Commentary Source Type: news

The Changing Face of Opioid AddictionThe Changing Face of Opioid Addiction
The 50- to 69-year-old age group represents the fastest growing subpopulation of opioid addicts in the United States. Medscape Medical News (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - September 8, 2014 Category: Emergency Medicine Tags: Neurology & Neurosurgery News Source Type: news

Rapid Streptococcus Tests AccurateRapid Streptococcus Tests Accurate
A metaanalysis has suggested that rapid streptococcus tests are accurate and may not need confirmation with throat culture. Medscape Medical News (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - September 8, 2014 Category: Emergency Medicine Tags: Pediatrics News Source Type: news

Liver Injuries From Supplements Up 3-Fold in 10 YearsLiver Injuries From Supplements Up 3-Fold in 10 Years
Herbal and dietary supplements were increasingly common causes of liver toxicity between 2004 and 2013, and those more often used by women were the most damaging. Medscape Medical News (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - September 8, 2014 Category: Emergency Medicine Tags: Gastroenterology News Source Type: news

Conviction of Intoxicated Drivers at a Trauma CenterConviction of Intoxicated Drivers at a Trauma Center
A new study reports on the DUI conviction rate of injured intoxicated drivers presenting to an ED after a motor vehicle accident. Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - September 4, 2014 Category: Emergency Medicine Tags: Emergency Medicine Journal Article Source Type: news

Allergic Reactions Halt Antithrombotic Trial: REGULATE-PCI Allergic Reactions Halt Antithrombotic Trial: REGULATE-PCI
The temporary hold placed on the trial last month following a data safety and monitoring board review is now permanent, the company said Monday. Heartwire (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - August 27, 2014 Category: Emergency Medicine Tags: Cardiology News Source Type: news

Ebola: Excessive Precautions in US Hospitals May Be Harmful Ebola: Excessive Precautions in US Hospitals May Be Harmful
Hospitals should stick to evidence-based control measures when developing Ebola patient management plans and should avoid fear-based excesses. Medscape Medical News (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - August 22, 2014 Category: Emergency Medicine Tags: Infectious Diseases News Source Type: news

Joint Commission Issues Alert on Tubing MisconnectionsJoint Commission Issues Alert on Tubing Misconnections
The commission urges organizations to begin planning for the transition beginning in October to new tubing connector standards, which will introduce changes and new risks into the healthcare environment. News Alerts (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - August 21, 2014 Category: Emergency Medicine Tags: General Surgery News Alert Source Type: news

Image of the Month: Agitated PatientImage of the Month: Agitated Patient
A 49-year-old man with a history of hypertension, hyperlipidemia, and type 2 diabetes is brought into the emergency department for confusion, difficulty speaking, and agitation. American Academy of Emergency Medicine (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - August 21, 2014 Category: Emergency Medicine Tags: Emergency Medicine Article Source Type: news

Legume Lupin on FDA Radar as Risky AllergenLegume Lupin on FDA Radar as Risky Allergen
Lupin, in the peanut family, is a relatively new legume on the US market and parents may not recognize it as a potential allergen, the FDA says in a consumer update. Medscape Medical News (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - August 20, 2014 Category: Emergency Medicine Tags: Allergy & Clinical Immunology News Source Type: news

Regardless of Location, Concussions Serious: StudyRegardless of Location, Concussions Serious: Study
Concussions in high school football players are equally serious no matter where on the head the hit occurred, according to a new study. Reuters Health Information (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - August 12, 2014 Category: Emergency Medicine Tags: Neurology & Neurosurgery News Source Type: news

Ebola: Are Treatments, Vaccines on the Horizon?Ebola: Are Treatments, Vaccines on the Horizon?
An experimental serum grown in specially modified tobacco leaves made headlines this week when it was given to two Americans stricken with Ebola. WebMD Health News (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - August 7, 2014 Category: Emergency Medicine Tags: Infectious Diseases News Source Type: news

Troponin Plus ECG and 'Gestalt' May Be Enough to Rule Out AMITroponin Plus ECG and 'Gestalt' May Be Enough to Rule Out AMI
Combining clinician judgment with electrocardiogram and troponin testing results in 100% sensitivity in 'ruling out' acute myocardial infarction (AMI), new findings suggest. Reuters Health Information (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - July 24, 2014 Category: Emergency Medicine Tags: Emergency Medicine News Source Type: news

Busiest EDs Have Best OutcomesBusiest EDs Have Best Outcomes
Patients treated in high-volume US emergency departments had lower risk for death overall, as well as for 8 common conditions, compared with patients treated in low-volume emergency departments. Medscape Medical News (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - July 21, 2014 Category: Emergency Medicine Tags: Emergency Medicine News Source Type: news

Defining the Experience of BreathlessnessDefining the Experience of Breathlessness
The symptom is common and the experience is frightening, but breathlessness has never really been well defined until now. Medscape Nurses (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - July 18, 2014 Category: Emergency Medicine Tags: Nursing Viewpoint Source Type: news

Stroke Incidence, Mortality Drop, But Not Across the BoardStroke Incidence, Mortality Drop, But Not Across the Board
Stroke rates are falling, but only in older people, and stroke-related mortality rates are declining, but only among younger people. Medscape Medical News (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - July 17, 2014 Category: Emergency Medicine Tags: Neurology & Neurosurgery News Source Type: news

Video 'Selfie' Could Facilitate Diagnosis of Stroke, TIAVideo 'Selfie' Could Facilitate Diagnosis of Stroke, TIA
The case of a woman who took a video selfie during a TIA suggests telemedicine could help prepare neurologists to treat stroke patients. Patients or witnesses should always call 911 first, experts caution. Medscape Medical News (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - July 9, 2014 Category: Emergency Medicine Tags: Neurology & Neurosurgery News Source Type: news

Adverse Drug Event Nonrecognition in Emergency DepartmentsAdverse Drug Event Nonrecognition in Emergency Departments
A better understanding of the factors associated with adverse drug events will assist emergency physicians in diagnosing these incidents. The Journal of Emergency Medicine (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - July 8, 2014 Category: Emergency Medicine Tags: Emergency Medicine Journal Article Source Type: news

Time to Rethink ED IV Insertion Standing Protocols?Time to Rethink ED IV Insertion Standing Protocols?
Peripheral intravenous catheters are the quickest and easiest way to gain vascular access but this practice is not without complications. And do all patients need one? AccessMedicine from McGraw-Hill (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - June 27, 2014 Category: Emergency Medicine Tags: Emergency Medicine Journal Article Source Type: news

'Project Lazarus' Making Headway on Opioid Overdoses'Project Lazarus' Making Headway on Opioid Overdoses
A community-based opioid overdose prevention program has dramatically cut overdose deaths in Wilkes County, North Carolina. Medscape Medical News (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - June 18, 2014 Category: Emergency Medicine Tags: Neurology & Neurosurgery News Source Type: news

What Does This T-Wave Pattern Indicate?What Does This T-Wave Pattern Indicate?
These T waves look like they are 'pinched from above.' What does this indicate? Medscape Cardiology (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - June 16, 2014 Category: Emergency Medicine Tags: Cardiology Case Challenge Source Type: news

The Battle to Topple Obamacare Heats Up; MoreThe Battle to Topple Obamacare Heats Up; More
The fight to overturn Obamacare; a possible setback in malpractice; an encouraging trend for some doctors; acceding to a patient's wishes?; and more. Medscape Business of Medicine (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - June 12, 2014 Category: Emergency Medicine Tags: Family Medicine/Primary Care Expert Column Source Type: news

Patients Who Call Ambulances for Primary Care ProblemsPatients Who Call Ambulances for Primary Care Problems
What are some of the reasons behind a patient's decision to utilize ambulance services for non-emergency medical issues? Emergency Medicine Journal (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - June 6, 2014 Category: Emergency Medicine Tags: Emergency Medicine Journal Article Source Type: news

Older Blacks Fare Better Than Whites After TraumaOlder Blacks Fare Better Than Whites After Trauma
Younger blacks have higher in-hospital mortality after trauma than whites, but the situation is reversed for trauma patients aged 65 years and older. Medscape Medical News (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - May 29, 2014 Category: Emergency Medicine Tags: Emergency Medicine News Source Type: news

Don’t Sue Me! Malpractice Pitfalls in Hospital MedicineDon’t Sue Me! Malpractice Pitfalls in Hospital Medicine
Most clinicians with long careers will one day find themselves on the receiving end of a medical liability claim. Dr. Franklin Michota offers advice on how to minimize the risk of being sued. Medscape Business of Medicine (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - May 22, 2014 Category: Emergency Medicine Tags: Internal Medicine Expert Interview Source Type: news

New APS Guideline on Safe Use of Methadone New APS Guideline on Safe Use of Methadone
To address soaring numbers of methadone overdose, the guideline advises individualized risk assessment and patient counseling about safe use, plus ECG monitoring to identify patients at high risk for cardiac problems. Medscape Medical News (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - May 22, 2014 Category: Emergency Medicine Tags: Neurology & Neurosurgery News Source Type: news

Emergency Docs Fear Surge of Patients Under ACAEmergency Docs Fear Surge of Patients Under ACA
Many emergency physicians warn that EDs are not ready for an expected patient surge, says ACEP. Forty-six percent have seen visits pick up since January 1. Medscape Medical News (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - May 22, 2014 Category: Emergency Medicine Tags: Emergency Medicine News Source Type: news

Antibiotic Scripts for Bronchitis Common Despite GuidelinesAntibiotic Scripts for Bronchitis Common Despite Guidelines
Providers continue to inappropriately prescribe antibiotics for bronchitis, despite 40 years of research showing they are ineffective. Medscape Medical News (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - May 21, 2014 Category: Emergency Medicine Tags: Family Medicine/Primary Care News Source Type: news

Patient Contact: Shake Hands, Hug, Fist Bump, or Just Smile?Patient Contact: Shake Hands, Hug, Fist Bump, or Just Smile?
Some doctors try to avoid touching patients in order to not spread germs. But the patients feel like they're missing out. What should you do? Medscape Business of Medicine (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - May 20, 2014 Category: Emergency Medicine Tags: Family Medicine/Primary Care Article Source Type: news

An Infant in Acute Respiratory Distress: Case ChallengeAn Infant in Acute Respiratory Distress: Case Challenge
Test your diagnostic approach to an infant who presents with increased work of breathing and fever. Medscape Pediatrics (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - May 17, 2014 Category: Emergency Medicine Tags: Pediatrics Case Challenge Source Type: news

The Ongoing Debate Between Crystalloid and ColloidThe Ongoing Debate Between Crystalloid and Colloid
Aaron Holley, MD, reviews a decade-long debate on whether to use crystalloid or colloid for fluid resuscitation. Medscape Critical Care (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - May 15, 2014 Category: Emergency Medicine Tags: Critical Care Viewpoint Source Type: news

Three Protocol-Based Sepsis Therapies: Is One Superior?Three Protocol-Based Sepsis Therapies: Is One Superior?
What did investigators find when they tested 3 protocol-based approaches to treating septic shock? Is there a clear winner? Medscape Pulmonary Medicine (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - May 14, 2014 Category: Emergency Medicine Tags: Pulmonary Medicine Commentary Source Type: news

Does Eye Color Predict Response to Pain?Does Eye Color Predict Response to Pain?
A pilot study presented at the American Pain Society suggests that eye color can predict a person's sensitivity to pain stimuli. Medscape Medical News (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - May 14, 2014 Category: Emergency Medicine Tags: Neurology & Neurosurgery News Source Type: news

Concussion: Kids' Symptoms May Linger and Change Over TimeConcussion: Kids' Symptoms May Linger and Change Over Time
Emotional symptoms may not be seen until a week after the injury. Medscape Medical News (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - May 12, 2014 Category: Emergency Medicine Tags: Pediatrics News Source Type: news

FDA Advisory Panel Recommends Approval of New CPR SystemFDA Advisory Panel Recommends Approval of New CPR System
In another step forward on the approval pathway, the advisory panel came out in favor of the ResQCPR System to perform CPR. Heartwire (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - May 9, 2014 Category: Emergency Medicine Tags: Cardiology News Source Type: news

Intracerebral Hemorrhage: The Most Common CausesIntracerebral Hemorrhage: The Most Common Causes
A new study assesses the most common etiologies of intracerebral hemorrhage. Medscape Neurology (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - May 9, 2014 Category: Emergency Medicine Tags: Neurology & Neurosurgery Expert Interview Source Type: news

Syphilis Rates in US Doubled Since 2000, Still RisingSyphilis Rates in US Doubled Since 2000, Still Rising
Syphilis incidence has continued to rise and is now twice that of the US nadir; rates are highest among black men and MSM, with recent increases seen among Hispanic and white men. Medscape Medical News (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - May 8, 2014 Category: Emergency Medicine Tags: Infectious Diseases News Source Type: news

Patient Attitudes on Consent for Emergency Department CTsPatient Attitudes on Consent for Emergency Department CTs
Do patients want written consent prior to an emergency CT? Or is verbal consent enough? Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - May 8, 2014 Category: Emergency Medicine Tags: Emergency Medicine Journal Article Source Type: news

Septic Shock: The Case for Different Blood Pressure TargetsSeptic Shock: The Case for Different Blood Pressure Targets
A case is made for using different blood pressure targets for different subsets of patients with septic shock. Medscape Pulmonary Medicine (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - May 8, 2014 Category: Emergency Medicine Tags: Pulmonary Medicine Commentary Source Type: news

Everyone Should Be Presumed to Be a Willing Organ DonorEveryone Should Be Presumed to Be a Willing Organ Donor
People have to sign a card saying that they would donate organs if the situation arises. Instead, why not assume that everyone wants to donate, and force people to actively opt out? Medscape Business of Medicine (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - May 6, 2014 Category: Emergency Medicine Tags: Business of Medicine Commentary Source Type: news

Review of Hypnosis for Clinical Emergency CareReview of Hypnosis for Clinical Emergency Care
Does hypnosis have a place in emergency medicine? If so, why is it not more widely used? The Journal of Emergency Medicine (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - May 5, 2014 Category: Emergency Medicine Tags: Emergency Medicine Journal Article Source Type: news

Novel Hydrocodone: 24-Hour Analgesia, Less Abuse PotentialNovel Hydrocodone: 24-Hour Analgesia, Less Abuse Potential
Once-daily, extended-release hydrocodone bitartrate provides persistent pain relief in patients with chronic nonmalignant and nonneuropathic pain and also comes with abuse-deterrent properties. Medscape Medical News (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - May 2, 2014 Category: Emergency Medicine Tags: Neurology & Neurosurgery News Source Type: news

Nasal Cannula Oxygen: Use Before and During IntubationNasal Cannula Oxygen: Use Before and During Intubation
EM physician Richard Levitan, MD, discusses his NO DESAT (nasal oxygenation during efforts securing a tube) technique, a novel approach to oxygenation in emergency department patients. Medscape Emergency Medicine (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - April 29, 2014 Category: Emergency Medicine Tags: Emergency Medicine Commentary Source Type: news

Septic Shock: Is EGDT Still Necessary?Septic Shock: Is EGDT Still Necessary?
The investigators in a new trial tested whether all aspects of early goal-directed therapy (EGDT) are necessary in patients with severe sepsis and septic shock. Medscape Critical Care (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - April 29, 2014 Category: Emergency Medicine Tags: Critical Care Viewpoint Source Type: news