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Here are what the editors at HealthDay consider to be the most important developments in Emergency Medicine for September 2018. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.<\/p>\n
Physicians Often Don’t Address Their Burnout<\/font><\/p>\n FRIDAY, Sept. 28, 2018 (HealthDay News) — More than half of physicians experience burnout, and many do not seek treatment for burnout, according to a report published in the American Medical Association’s AMA Wire<\/i>.<\/p>\n More Information<\/a><\/p>\n Prevalence of TBI 2.5 Percent Among U.S. Children<\/font><\/p>\n FRIDAY, Sept. 28, 2018 (HealthDay News) — The prevalence of traumatic brain injury (TBI) is 2.5 percent among U.S. children, and TBI is associated with several health conditions, according to a study published online Sept. 24 in JAMA Pediatrics<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Business Degree Increasingly Useful for Doctors<\/font><\/p>\n THURSDAY, Sept. 27, 2018 (HealthDay News) — Having a Master of Business Administration degree (M.B.A.) can help doctors with important, practice-related decisions, according to a report published recently in Physician Practice<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n 80,000 Americans Died From Influenza Over Last Year<\/font><\/p>\n THURSDAY, Sept. 27, 2018 (HealthDay News) — Influenza was deadlier last season than it has been for at least four decades, killing 80,000 Americans. So said the head of the U.S. Centers for Disease Control and Prevention late Tuesday in an interview with the Associated Press<\/i>.<\/p>\n AP News<\/i> Article<\/a><\/p>\n Opioid Bill Gets Bipartisan Support<\/font><\/p>\n THURSDAY, Sept. 27, 2018 (HealthDay News) — In a rare bipartisan move, both the House and Senate have reached a compromise on legislation to address the opioid epidemic.<\/p>\n The New York Times<\/i> Article<\/a><\/p>\n Final Update on Salmonella<\/i>-Tainted Honey Smacks Cereal<\/font><\/p>\n THURSDAY, Sept. 27, 2018 (HealthDay News) — A total of 135 people across 36 states fell ill with Salmonella<\/i> after eating Kellogg’s Honey Smacks cereal, according to a final update from the U.S. Centers for Disease Control and Prevention.<\/p>\n More Information<\/a><\/p>\n Time to Defib Not Linked to Survival in Pediatric IHCA<\/font><\/p>\n THURSDAY, Sept. 27, 2018 (HealthDay News) — For pediatric patients with in-hospital cardiac arrest (IHCA), time to first defibrillation attempt is not associated with survival, according to a study published online Sept. 21 in JAMA Network Open<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Practices Should Set Rules for Staff Social Media Use<\/font><\/p>\n THURSDAY, Sept. 27, 2018 (HealthDay News) — Medical practices can take steps to avoid problems related to use of social media by staff members, according to an article published in Medical Economics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Burnout, Career Choice Regret Prevalent in U.S. Residents<\/font><\/p>\n WEDNESDAY, Sept. 26, 2018 (HealthDay News) — Symptoms of burnout and career choice regret are prevalent among U.S. resident physicians, according to a study published in the Sept. 18 issue of the Journal of the American Medical Association<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Lawn-Mower-Related Injuries Are Most Often Lacerations<\/font><\/p>\n WEDNESDAY, Sept. 26, 2018 (HealthDay News) — From 2006 through 2013, the weighted estimate of lawn-mower-related injuries was 51,151, with the most common injuries being lacerations, fractures, and amputations, according to a study published online Aug. 1 in Public Health Reports<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Head CT Decision Aid Ups Parent Knowledge in Child Head Trauma<\/font><\/p>\n WEDNESDAY, Sept. 26, 2018 (HealthDay News) — Use of a decision aid can improve parent knowledge for children with minor head injury at intermediate risk of clinically important traumatic brain injury (ciTBI), according to a study published online Sept. 21 in JAMA Network Open<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Initial Abx Feasible Alternative for Uncomplicated Appendicitis<\/font><\/p>\n TUESDAY, Sept. 25, 2018 (HealthDay News) — The cumulative incidence of appendicitis recurrence within five years is 39.1 percent among patients with uncomplicated acute appendicitis initially treated with antibiotics, according to research published in the Sept. 25 issue of the Journal of the American Medical Association<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n In 2016, Proportion of Uninsured Americans Down to 10 Percent<\/font><\/p>\n TUESDAY, Sept. 25, 2018 (HealthDay News) — From 2013 to 2016 there was a reduction in uninsurance among Americans from 17 to 10 percent, according to a report published in September by the Robert Wood Johnson Foundation (RWJF) and the Urban Institute.<\/p>\n More Information<\/a><\/p>\n Physician-Group ACOs Generate Medicare Savings<\/font><\/p>\n TUESDAY, Sept. 25, 2018 (HealthDay News) — Physician-group accountable care organizations (ACOs) participating in the Medicare Shared Savings Program (MSSP) generated significantly more savings for Medicare that grew from 2012 to 2015 compared with hospital-integrated ACOs, according to research published in the Sept. 20 issue of the New England Journal of Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Interpreter Services Critical for Emergency Care<\/font><\/p>\n MONDAY, Sept. 24, 2018 (HealthDay News) — Emergency department interpreters are vital to quality care, according to an article published in the October issue of the Annals of Emergency Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Gender Nonconformity Linked to Students’ Mental Distress<\/font><\/p>\n MONDAY, Sept. 24, 2018 (HealthDay News) — Gender nonconformity (GNC) is associated with mental distress for female and male students, according to a study published online Sept. 24 in JAMA Pediatrics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Mortality for Unintentional Drug Poisonings Up Since 1979<\/font><\/p>\n MONDAY, Sept. 24, 2018 (HealthDay News) — Since at least 1979, there has been an exponential increase in the overall mortality rate for unintentional drug poisonings, according to a research article published online Sept. 21 in Science<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Heart Failure Patients Enrolled in Hospice Use Less Health Care<\/font><\/p>\n MONDAY, Sept. 24, 2018 (HealthDay News) — Patients with advanced heart failure enrolled in hospice have fewer emergency department visits, hospital days, and intensive care unit (ICU) stays, according to a study published in the September issue of JACC: Heart Failure<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Ground Beef Recalled After E. Coli<\/i> Outbreak<\/font><\/p>\n FRIDAY, Sept. 21, 2018 (HealthDay News) — More than 132,000 pounds of ground beef have been recalled by a Colorado company following a suspected outbreak where one person was killed and 17 were sickened by Escherichia coli<\/i> after eating the meat.<\/p>\n AP News<\/i> Article<\/a><\/p>\n Cargill Statement<\/a><\/p>\n Dozens of Medical Groups Join Forces to Improve Diagnoses<\/font><\/p>\n FRIDAY, Sept. 21, 2018 (HealthDay News) — Every nine minutes, a patient in a U.S. hospital dies because a diagnosis was wrong or delayed — resulting in 80,000 deaths a year. That sobering estimate comes from the Society to Improve Diagnosis in Medicine (SIDM).<\/p>\n More Information<\/a><\/p>\n Repeat CT Common in Peds Traumatic Epidural Hematoma<\/font><\/p>\n FRIDAY, Sept. 21, 2018 (HealthDay News) — For children with traumatic epidural hematomas (EDHs), repeated computed tomography (CT) imaging is common, but rarely impacts management, according to a study published in the September issue of Pediatrics<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n More Hurt, Killed in Shootings With Semiautomatic Rifles<\/font><\/p>\n FRIDAY, Sept. 21, 2018 (HealthDay News) — More people are wounded and killed in active shooter incidents in which semiautomatic rifles are used, according to a research letter published in the Sept. 11 issue of the Journal of the American Medical Association<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Research Links Doctor Burnout to Patient Safety Incidents<\/font><\/p>\n THURSDAY, Sept. 20, 2018 (HealthDay News) — Physician burnout is associated with increased risk of patient safety incidents, poorer quality of care due to low professionalism, and reduced patient satisfaction, according to a review published online Sept. 4 in JAMA Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Black Individuals at Highest Risk of Legal Intervention Injury<\/font><\/p>\n THURSDAY, Sept. 20, 2018 (HealthDay News) — Black males were at the highest risk of legal intervention injury per capita from 2005 to 2015, according to a study published online Sept. 14 in JAMA Network Open<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Hospitals Charge 479 Percent of Cost of Drugs on Average<\/font><\/p>\n THURSDAY, Sept. 20, 2018 (HealthDay News) — On average, hospitals mark up drugs by 479 percent of their cost, according to a report from The Moran Company, commissioned by the Pharmaceutical Research and Manufacturers of America (PhRMA).<\/p>\n More Information<\/a><\/p>\n Residents Should Take Advantage of Paid Time Off<\/font><\/p>\n THURSDAY, Sept. 20, 2018 (HealthDay News) — Although there are many demands on residents, taking advantage of paid vacation time is one of the perks and should be maximized, according to an article published in the American Medical Association’s AMA Wire<\/i>.<\/p>\n More Information<\/a><\/p>\n 20% of Children, Adolescents Use Prescription Medications<\/font><\/p>\n WEDNESDAY, Sept. 19, 2018 (HealthDay News) — Almost 20 percent of children and adolescents used prescription medications in 2013 to 2014, and 8.2 percent of concurrent users of prescription medications in 2009 to 2014 were at risk for a potentially major drug-drug interactions (DDIs), according to a study published in the September issue of Pediatrics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Patient Health Information Often Shared Electronically<\/font><\/p>\n WEDNESDAY, Sept. 19, 2018 (HealthDay News) — The most common electronically sent and received types of patient health information (PHI) include laboratory results and medication lists, according to a report published Aug. 15 by the U.S. Centers for Disease Control and Prevention’s National Center for Health Statistics.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Opioid Deaths 1999 to 2015 May Be Dramatically Underestimated<\/font><\/p>\n WEDNESDAY, Sept. 19, 2018 (HealthDay News) — States may be greatly underestimating the effect of opioid-related overdose deaths because of incomplete cause-of-death reporting, according to a study recently published in Public Health Reports<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Global Prevalence of Insufficient Activity 27.5 Percent<\/font><\/p>\n WEDNESDAY, Sept. 19, 2018 (HealthDay News) — In 2016 the age-standardized prevalence of insufficient physical activity was 27.5 percent, according to a study published in the October issue of The Lancet Global Health<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n U.S. Senate Passes Opioids Bill<\/font><\/p>\n TUESDAY, Sept. 18, 2018 (HealthDay News) — The Senate on Monday passed on a 99-1 vote legislation aimed at curbing the nation’s ongoing opioid addiction crisis.<\/p>\n CBS News<\/i> Article<\/a><\/p>\n Scribes Improve Physician Workflow, Patient Interaction<\/font><\/p>\n TUESDAY, Sept. 18, 2018 (HealthDay News) — Use of medical scribes is associated with decreased physician documentation burden, improved work efficiency, and improved patient interactions, according to a study published online Sept. 17 in JAMA Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Drug Prices Increase More Than Expected After Shortages<\/font><\/p>\n TUESDAY, Sept. 18, 2018 (HealthDay News) — Prices for drugs under shortage increase more than twice as quickly as expected in the absence of a shortage, according to a research letter published online Sept. 18 in the Annals of Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Compliance With Requirement to Report Results on EUCTR Is Poor<\/font><\/p>\n TUESDAY, Sept. 18, 2018 (HealthDay News) — Half of trials on the European Union Clinical Trials Register (EUCTR) are non-compliant with the European Commission’s requirement that all trials post results to the registry within 12 month of completion, according to a study published online Sept. 13 in The BMJ<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Decrease in Infant Walker-Related Injuries Since 2010<\/font><\/p>\n MONDAY, Sept. 17, 2018 (HealthDay News) — Following implementation of a federal mandatory safety standard on infant walkers in 2010, there was a decrease in the number of infant walker-related injuries, according to a study published online Sept. 17 in Pediatrics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Mercury in Traditional Tibetan Medicine Could Be Harmful<\/font><\/p>\n MONDAY, Sept. 17, 2018 (HealthDay News) — The high mercury (Hg) concentration contained in traditional Tibetan medicine (TTM) could be harmful to humans and contribute to the environmental Hg burden in Tibet, according to a study published in the Aug. 7 issue of Environmental Science & Technology<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Association Health Plans Can Help Small Businesses Offer Coverage<\/font><\/p>\n MONDAY, Sept. 17, 2018 (HealthDay News) — Association health plans (AHPs) will provide small businesses with more choices, access, and coverage options, although critics warn that they may undermine the Affordable Care Act (ACA) marketplace, according to an article published in Managed Healthcare Executive<\/i>.<\/p>\n More Information<\/a><\/p>\n Ambient Particulate Matter Linked to Emergency Asthma Care<\/font><\/p>\n MONDAY, Sept. 17, 2018 (HealthDay News) — Ambient particulate matter concentrations are associated with emergency\/urgent care visits among individuals with asthma, according to a study published in the Aug. 1 issue of the Annals of the American Thoracic Society<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Final CDC Update on Salmonella<\/i> Linked to Backyard Poultry<\/font><\/p>\n FRIDAY, Sept. 14, 2018 (HealthDay News) — At least 334 people in 47 states have been sickened in Salmonella<\/i> outbreaks linked to contact with live poultry in backyard flocks, according to the U.S. Centers for Disease Control and Prevention.<\/p>\n More Information<\/a><\/p>\n CDC: Some Sexual Minorities Have Higher Sexual Risk Behaviors<\/font><\/p>\n FRIDAY, Sept. 14, 2018 (HealthDay News) — Bisexual females and “not sure” male students report higher prevalences for many sexual risk behaviors than heterosexual students, according to research published in the Sept. 14 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Extreme Flooding Can Up Exposure to Pathogens<\/font><\/p>\n FRIDAY, Sept. 14, 2018 (HealthDay News) — Extreme flooding, such as was seen in Hurricane Harvey, can increase exposure to pathogens, according to a research letter published recently in Environmental Science & Technology<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Situation Framing, Language Can Influence Decision-Making<\/font><\/p>\n FRIDAY, Sept. 14, 2018 (HealthDay News) — How a situation is framed and the language used to describe risks can influence patients’ decision-making, according to an article published in Physicians Practice<\/i>.<\/p>\n More Information<\/a><\/p>\n Firearm Deaths Up Globally From 1990 to 2016<\/font><\/p>\n THURSDAY, Sept. 13, 2018 (HealthDay News) — Firearm deaths increased globally between 1990 and 2016, according to a study published in the Aug. 28 issue of the Journal of the American Medical Association<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n New Risk Score Promising for Predicting MI, Death<\/font><\/p>\n THURSDAY, Sept. 13, 2018 (HealthDay News) — A score based on the results of three laboratory tests has higher sensitivity and specificity than cardiac troponin alone for stratifying patients presenting with suspected acute coronary syndrome, according to a study published online Aug. 19 in CMAJ<\/i>, the journal of the Canadian Medical Association.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Physicians Need Training for Mass Casualty Incidents<\/font><\/p>\n THURSDAY, Sept. 13, 2018 (HealthDay News) — Proper training and post-incident steps can help lessen the secondary trauma health professionals experience providing care during mass casualty incidents (MCIs), according to an article published in the American Medical Association’s AMA Wire<\/i>.<\/p>\n More Information<\/a><\/p>\n AHA: Resistant Hypertension Diagnosis, Tx Guidelines Updated<\/font><\/p>\n THURSDAY, Sept. 13, 2018 (HealthDay News) — A correct diagnosis of resistant hypertension is necessary to avoid overmedicating, according to a scientific statement from the American Heart Association published online Sept. 13 in Hypertension<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Gains in Insurance Coverage Seen for Lesbian, Gay, Bisexual Adults<\/font><\/p>\n THURSDAY, Sept. 13, 2018 (HealthDay News) — Lesbian, gay, and bisexual (LGB) adults report continued problems affording care despite coverage gains offered by the Affordable Care Act, according to a study published in the August issue of Health Affairs<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Highest Opioid-Related Mortality Seen in Construction Jobs<\/font><\/p>\n WEDNESDAY, Sept. 12, 2018 (HealthDay News) — Proportional mortality ratios (PMRs) for heroin-related overdose deaths and methadone-related overdose deaths from 2007 to 2012 were highest among construction workers, according to research published in the Aug. 24 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Residents Working Long Hours Can Increase Alertness<\/font><\/p>\n WEDNESDAY, Sept. 12, 2018 (HealthDay News) — Medical residents can take steps to maintain their energy and alertness during long shifts, according to an article published in the American Medical Association’s AMA Wire<\/i>.<\/p>\n More Information<\/a><\/p>\n Six-Step Analysis Can Help Improve Practice Logistics<\/font><\/p>\n WEDNESDAY, Sept. 12, 2018 (HealthDay News) — A six-step analysis can help redesign and improve the outpatient health care process, according to a study recently published in the Journal of Evaluation in Clinical Practice<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Chest Radiograph Effective for Excluding Pediatric Pneumonia<\/font><\/p>\n TUESDAY, Sept. 11, 2018 (HealthDay News) — A negative chest radiograph (CXR) accurately excludes pneumonia in the majority of children, according to a study published in the September issue of Pediatrics<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n One in Five Pot Products Fails Potency, Purity Tests in California<\/font><\/p>\n TUESDAY, Sept. 11, 2018 (HealthDay News) — Close to 20 percent of marijuana products in California have failed to pass tests for potency or purity since the state began mandating such testing July 1, a new report finds.<\/p>\n AP News<\/i> Article<\/a><\/p>\n Tai Chi Effective at Reducing Number of Falls in Older Adults<\/font><\/p>\n TUESDAY, Sept. 11, 2018 (HealthDay News) — Tai chi is more effective than conventional exercise at preventing falls among high-risk, older adults, according to a study published online Sept. 10 in JAMA Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Shift Seen From EDs to Urgent Care for Low-Acuity, Acute Care<\/font><\/p>\n TUESDAY, Sept. 11, 2018 (HealthDay News) — From 2008 through 2015, there was a substantial shift in venue in which acute care for low-acuity conditions was sought, according to a study published online Sept. 4 in JAMA Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Medicaid Work Requirements Don’t Impact Many Enrollees<\/font><\/p>\n TUESDAY, Sept. 11, 2018 (HealthDay News) — Medicaid work requirements will only impact a small proportion of persons and may only generate minimal savings, according to two research letters published online Sept. 10 in JAMA Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text – Goldman<\/a><\/p>\n Abstract\/Full Text – Silvestri<\/a><\/p>\n Editorial<\/a><\/p>\n Data Age in Clinical Trials Is About Three Years at Publication<\/font><\/p>\n