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What Is the Specificity of the Aortic Dissection Detection Risk Score in a Low ‐prevalence Population?
ConclusionsOur study confirms that in North America the prevalence of AAS in those undergoing advanced imaging is low. The ADD ‐RS in this population has a low specificity. A lack of defined inclusion criteria and a low specificity limits the application of this rule in practice.
Source: Academic Emergency Medicine - November 20, 2018 Category: Emergency Medicine Authors: Robert Ohle, Omar Anjum, Helena Bleeker, Sarah McIsaac, Brian C. Hiestand Tags: Original Contribution Source Type: research

Commentary: 2018 Stroke Guidelines
Academic Emergency Medicine, EarlyView.
Source: Academic Emergency Medicine - May 30, 2018 Category: Emergency Medicine Authors: Andrew D. Perron MD, FACEP , John H. Burton MD Source Type: research

Creation and Implementation of an Outpatient Pathway for Atrial Fibrillation in the Emergency Department Setting: Results of an Expert Panel
This article is protected by copyright. All rights reserved.
Source: Academic Emergency Medicine - March 1, 2018 Category: Emergency Medicine Authors: Christopher W. Baugh, Carol L. Clark, Jason W. Wilson, Ian G. Stiell, Abraham G. Kocheril, Krista K. Luck, Troy D. Myers, Charles V. Pollack, Steven K. Roumpf, Gery F. Tomassoni, James M. Williams, Brian B. Patel, Fred Wu, Jesse M. Pines Tags: Special Contribution Source Type: research

From Ruling Out to Ruling In: Putting POCUS in Focus
This article is protected by copyright. All rights reserved.
Source: Academic Emergency Medicine - February 10, 2018 Category: Emergency Medicine Authors: Arjun K. Venkatesh, Charles D. Scales, Marta E. Heilbrun Tags: Commentary Source Type: research

The decline of basic science publications in major emergency medicine journals and research conferences
This article is protected by copyright. All rights reserved.
Source: Academic Emergency Medicine - November 1, 2017 Category: Emergency Medicine Authors: Vinitha Jacob, Justin Belsky, David Cone Tags: Commentary Source Type: research

Neurology Concepts: Young Women and Ischemic Stroke —Evaluation and Management in the Emergency Department
ConclusionUnique challenges exist in the evaluation and diagnosis of ischemic stroke in young women. There are still many opportunities for future research aimed at improving detection and treatment of this population.
Source: Academic Emergency Medicine - October 10, 2017 Category: Emergency Medicine Authors: Bernard P. Chang, Charles Wira, Joseph Miller, Murtaza Akhter, Bradley E. Barth, Joshua Willey, Lauren Nentwich, Tracy Madsen Tags: Original Contribution Source Type: research

Systemic Thrombolysis, Catheter ‐Directed Thrombolysis, and Anticoagulation for Intermediate‐risk Pulmonary Embolism: A Simulation Modeling Analysis
ConclusionIn our model, for those eligible, CDT results in the largest number of QALYs for patients with intermediate‐risk PE, although it is relatively expensive and the absolute difference in QALYs between anticoagulation alone and CDT is small. Future studies that provide data on longitudinal quality‐of‐life outcomes of patients treated for PE and characteristics of CDT would be beneficial to augment model inputs, inform assumptions, and validate results.
Source: Academic Emergency Medicine - September 13, 2017 Category: Emergency Medicine Authors: Christopher Kabrhel, Ayman Ali, Jin G. Choi, Chin Hur Tags: Original Contribution Source Type: research

Systemic Thrombolysis, Catheter ‐Directed Thrombolysis and Anticoagulation for Intermediate‐Risk Pulmonary Embolism: A Simulation Modeling Analysis
ConclusionIn our model, for those eligible, CDT results in the largest number of QALYs for patients with intermediate‐risk PE, although it is relatively expensive and the absolute difference in QALYs between anticoagulation alone and CDT is small. Future studies that provide data on longitudinal quality‐of‐life outcomes of patients treated for PE and characteristics of CDT would be beneficial to augment model inputs, inform assumptions, and validate results.This article is protected by copyright. All rights reserved.
Source: Academic Emergency Medicine - June 26, 2017 Category: Emergency Medicine Authors: Christopher Kabrhel, Ayman Ali, Jin Choi, Chin Hur Tags: Original Contribution Source Type: research

Neurology Concepts: Young Women and Ischemic Stroke: Evaluation and Management in the Emergency Department
ConclusionUnique challenges exist in the evaluation and diagnosis of ischemic stroke in young women. There are still many opportunities for future research aimed at improving detection and treatment of this population.This article is protected by copyright. All rights reserved.
Source: Academic Emergency Medicine - June 24, 2017 Category: Emergency Medicine Authors: Bernard P. Chang, Charles Wira, Joseph Miller, Murtaza Akhter, Bradley E. Barth, Joshua Willey, Lauren Nentwich, Tracy Madsen Tags: Original Contribution Source Type: research

Clinical Factors and Expenditures Associated With ICD ‐9‐CM Coded Trauma for the U.S. Population: A Nationally Representative Study
ConclusionsTrauma results in a significant healthcare expenditure burden, both per person and on the U.S. population. Clinicians should be aware that individuals in the U.S. population with certain comorbidities such as stroke, joint pain, arthritis, and asthma are more likely to have trauma and that differences exist in expenditures for office‐based, outpatient, dental, and the ED.
Source: Academic Emergency Medicine - March 22, 2017 Category: Emergency Medicine Authors: Clara E. Dismuke, Kinfe G. Bishu, Samir Fakhry, Rebekah J. Walker, Leonard E. Egede Tags: Original Contribution Source Type: research

Clinical Factors and Expenditures Associated With ICD ‐9‐CM Coded Trauma for the US Population: A Nationally Representative Study
ConclusionsTrauma results in a significant health care expenditure burden, both per person and on the US population. Clinicians should be aware that individuals in the U.S. population with certain comorbidities such as stroke, joint pain, arthritis and asthma are more likely to have trauma, and that differences exist in expenditures for office‐based, outpatient, dental and the ER.This article is protected by copyright. All rights reserved.
Source: Academic Emergency Medicine - December 14, 2016 Category: Emergency Medicine Authors: Clara E. Dismuke, Kinfe G. Bishu, Samir Fakhry, Rebekah J. Walker, Leonard E. Egede Tags: Original Contribution Source Type: research

Potentially Missed Diagnosis of Ischemic Stroke in the Emergency Department in the Greater Cincinnati/Northern Kentucky Stroke Study
ConclusionIn a large population‐based sample of AIS cases, 1 in 7 cases were not diagnosed as AIS in the ED, but the impact on acute treatment rates is likely small. Missed diagnosis was more common among those with decreased LOC, suggesting the need for improved diagnostic approaches in these patients.This article is protected by copyright. All rights reserved.
Source: Academic Emergency Medicine - June 16, 2016 Category: Emergency Medicine Authors: Tracy E. Madsen, Jane Khoury, Rhonda Cadena, Opeolu Adeoye, Kathleen A. Alwell, Charles J. Moomaw, Erin McDonough, Matthew L. Flaherty, Simona Ferioli, Daniel Woo, Pooja Khatri, Joseph P. Broderick, Brett M. Kissela, Dawn Kleindorfer Tags: Original Contribution Source Type: research

Patient and process factors associated with type of first neuroimaging and delayed diagnosis in childhood arterial ischemic stroke
ConclusionsStrategies to improve rapid diagnosis of pediatric stroke should include shared regional hospital networks protocols to optimize local imaging strategies, and where possible rapid transfer to the tertiary center. Future priorities should include development of pediatric ED physician decision support tools to differentiate stroke from mimics, and the development and implementation of rapid ED imaging stroke protocols to improve access to confirmatory MRI scanning.This article is protected by copyright. All rights reserved.
Source: Academic Emergency Medicine - May 6, 2016 Category: Emergency Medicine Authors: Marco Daverio, Silvia Bressan, Dario Gregori, Franz E. Babl, Mark T. Mackay Tags: Original Contribution Source Type: research

Are all stroke patients eligible for fast alteplase treatment? An analysis of unavoidable delays
ConclusionsUp to 31% of patients have delays due to medical or eligibility‐related causes that may be legitimate reasons for providing alteplase later than the benchmark time of 60 minutes.This article is protected by copyright. All rights reserved.
Source: Academic Emergency Medicine - January 29, 2016 Category: Emergency Medicine Authors: Philip M C Choi, Jamsheed A Desai, Devika Kashyap, Caroline Stephenson, Noreen Kamal, Sheldon Vogt, Victoria Bohm, Michael Suddes, Erin Bugbee, Michael D Hill, Andrew M Demchuk, Eric E Smith Tags: Original Contribution Source Type: research

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