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Here are what the editors at HealthDay consider to be the most important developments in Emergency Medicine for November 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
Case Description Can Reliably Define Acute Flaccid Myelitis<\/font><\/p>\n FRIDAY, Nov. 30, 2018 (HealthDay News) — A case description can reliably define patients with acute flaccid myelitis (AFM), according to a study published online Nov. 30 in JAMA Pediatrics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial 1<\/a><\/p>\n Editorial 2<\/a><\/p>\n Climate Change Ups Heat Deaths, Especially Among Elderly<\/font><\/p>\n THURSDAY, Nov. 29, 2018 (HealthDay News) — Risk for heat-related disease and death is rising worldwide due to climate change, according to a report published online Nov. 28 in The Lancet<\/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 Lower Mortality Seen for Cardiac Care at Top-Ranked Hospitals<\/font><\/p>\n WEDNESDAY, Nov. 28, 2018 (HealthDay News) — Compared with nonranked hospitals, top-ranked hospitals have lower 30-day mortality but similar or higher readmission rates for cardiovascular conditions, according to a study published online Nov. 28 in JAMA Cardiology<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n FDA: Kratom Products Have High Levels of Heavy Metals<\/font><\/p>\n WEDNESDAY, Nov. 28, 2018 (HealthDay News) — In addition to many other health risks, kratom products can have high levels of heavy metals, according to Scott Gottlieb, M.D., commissioner of the U.S. Food and Drug Administration.<\/p>\n More Information<\/a><\/p>\n FDA: Safe to Eat Romaine Lettuce Again, but Check Labels<\/font><\/p>\n TUESDAY, Nov. 27, 2018 (HealthDay News) — In a statement released late yesterday, the U.S. Food and Drug Administration Commissioner Scott Gottlieb, M.D., announced that the agency was lifting its advisory against eating romaine lettuce, first put in place last Tuesday. At that point, the agency had not been able to narrow down the source of the tainted lettuce. But now the source seems to be “end-of-season” lettuce harvested somewhere in the Central Coast regions of central and northern California. And “harvesting of romaine lettuce from this region has [already] ended for the year,” Gottlieb noted.<\/p>\n More Information: FDA<\/a><\/p>\n More Information: CDC<\/a><\/p>\n FDA to Update Medical Device Approvals Process<\/font><\/p>\n TUESDAY, Nov. 27, 2018 (HealthDay News) — A major update of the United States’ system for approving medical devices was announced yesterday by the Food and Drug Administration.<\/p>\n CBS\/AP News<\/i> Article<\/a><\/p>\n More Information<\/a><\/p>\n Four Principles Underlie Patient and Family Partnership in Care<\/font><\/p>\n TUESDAY, Nov. 27, 2018 (HealthDay News) — Patient and family partnership in care should include treatment of patients and families with dignity and respect, their active engagement in all aspects of care, and their contribution to the improvement of health care systems and education of health care professionals, according to a position paper published online Nov. 27 in the Annals of Internal Medicine<\/i>.<\/p>\n Position Paper<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n ACA Coverage Substantial, but Did Not Impact Labor Markets<\/font><\/p>\n MONDAY, Nov. 26, 2018 (HealthDay News) — Millions of workers gained insurance coverage under the Affordable Care Act (ACA) without adverse effects on labor markets, according to a report published by the Robert Wood Johnson Foundation and the Urban Institute.<\/p>\n Report: How Have Workers Fared Under the ACA?<\/a><\/p>\n Clinical Decision Support System Ups Outpatient PE Management<\/font><\/p>\n MONDAY, Nov. 26, 2018 (HealthDay News) — The use of a clinical decision support system (CDSS) in the emergency department can improve outpatient management for patients with acute pulmonary embolism (PE), according to a study published online Nov. 13 in the Annals of Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Probiotics Show No Benefits for Pediatric Acute Gastroenteritis<\/font><\/p>\n MONDAY, Nov. 26, 2018 (HealthDay News) — For children with acute gastroenteritis, probiotics show no significant benefit versus placebo, according to two studies published in the Nov. 22 issue of the New England Journal of Medicine<\/i>.<\/p>\n Abstract\/Full Text – Schnadower (subscription or payment may be required)<\/a><\/p>\n Abstract\/Full Text – Freedman (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n FDA Approves Drug for Treatment of Travelers’ Diarrhea<\/font><\/p>\n WEDNESDAY, Nov. 21, 2018 (HealthDay News) — The U.S. Food and Drug Administration on Friday announced it has approved Aemcolo (rifamycin), an antibacterial drug indicated for treating adult patients with travelers’ diarrhea caused by noninvasive strains of Escherichia coli<\/i> (E. coli<\/i>) without fever or blood in the stool.<\/p>\n More Information<\/a><\/p>\n ED Utilization Up for Pediatric mTBI After TBI Legislation<\/font><\/p>\n WEDNESDAY, Nov. 21, 2018 (HealthDay News) — Implementation of state youth traumatic brain injury (TBI) legislation correlated with an increase in pediatric emergency department utilization for youth sports- and recreation-related mild TBI (mTBI) evaluation, according to a study published in the November\/December issue of the Journal of Head Trauma Rehabilitation<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n CDC Announces Acute Flaccid Myelitis Task Force<\/font><\/p>\n TUESDAY, Nov. 20, 2018 (HealthDay News) — A task force to investigate a rising number of cases of a rare polio-like disease among children in the United States has been created by the U.S. Centers for Disease Control and Prevention.<\/p>\n More Information<\/a><\/p>\n FDA: Another E. coli<\/i> Outbreak Linked to Romaine Lettuce<\/font><\/p>\n TUESDAY, Nov. 20, 2018 (HealthDay News) — The U.S. Food and Drug Administration and U.S. Centers for Disease Control and Prevention along with health officials from various states are asking American consumers to avoid romaine lettuce due to an outbreak of Escherichia coli<\/i> illness.<\/p>\n FDA Fast Facts<\/a><\/p>\n CDC Food Safety Alert<\/a><\/p>\n Major Bleeding Up With Frailty in Acute MI Patients<\/font><\/p>\n TUESDAY, Nov. 20, 2018 (HealthDay News) — Frail acute myocardial infarction (AMI) patients are less likely to undergo cardiac catheterization and have an increased risk for bleeding, according to a study published in the Nov. 26 issue of JACC: Cardiovascular Interventions<\/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 Better Work Environment Tied to Better Patient Safety<\/font><\/p>\n TUESDAY, Nov. 20, 2018 (HealthDay News) — The results of a recent survey of thousands of nurses and patients show that hospital patient safety remains a serious concern, according to a study published in the November issue of Health Affairs<\/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 Cap’n Crunch Cereal Recalled Due to Salmonella<\/i> Scare<\/font><\/p>\n MONDAY, Nov. 19, 2018 (HealthDay News) — A small number of boxes of Cap’n Crunch’s Peanut Butter Crunch are being recalled due to potential Salmonella<\/i> contamination, Quaker Oats says.<\/p>\n FDA Recall Notice<\/a><\/p>\n More Information: CDC<\/a><\/p>\n Even With Standing Orders, Naloxone Access Varies<\/font><\/p>\n MONDAY, Nov. 19, 2018 (HealthDay News) — There are great differences in access to naloxone even among states that have passed legislation to allow pharmacists to dispense the medication without a physician’s prescription, according to two research letters published in the Nov. 13 issue of the Journal of the American Medical Association<\/i>.<\/p>\n Abstract\/Full Text – Puzantian (subscription or payment may be required)<\/a><\/p>\n Abstract\/Full Text – Evoy (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Prevalence of Food Allergy 7.6 Percent in U.S. Children<\/font><\/p>\n MONDAY, Nov. 19, 2018 (HealthDay News) — The prevalence of food allergy (FA) is 7.6 percent among children in the United States, according to a study published online Nov. 19 in Pediatrics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Opioid Misuse Varies With Sexual Orientation<\/font><\/p>\n MONDAY, Nov. 19, 2018 (HealthDay News) — Opioid misuse varies with sexual orientation, with increased misuse among female bisexuals, according to a study published online Nov. 19 in the American Journal of Preventive Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n HIV Transmission Risk Small With Antiretroviral Compliance<\/font><\/p>\n MONDAY, Nov. 19, 2018 (HealthDay News) — The risk for sexual transmission of HIV is negligible when an HIV-positive sex partner adheres to antiretroviral therapy and maintains viral suppression, according to research published in the November issue of CMAJ<\/i>, the journal of the Canadian Medical Association.<\/p>\n Abstract\/Full Text<\/a><\/p>\n AAP Updates Management of Sport-Related Concussion<\/font><\/p>\n FRIDAY, Nov. 14, 2018 (HealthDay News) — Recommendations have been developed for the diagnosis and management of pediatric sport-related concussion (SRC), according to a clinical report published online Nov. 12 in Pediatrics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Epinephrine Personal Autoinjectors Cost-Effective at $24<\/font><\/p>\n FRIDAY, Nov. 16, 2018 (HealthDay News) — In a simulation of children with peanut allergy, epinephrine personal autoinjectors are cost-effective at $24, according to a study published online Nov. 16 in JAMA Network Open<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n CDC: Increase Seen in Salmonella<\/i> Illnesses From Ground Beef<\/font><\/p>\n FRIDAY, Nov. 16, 2018 (HealthDay News) — There have been 126 more cases of illness added to an investigation into a Salmonella<\/i> outbreak linked to recalled ground beef products from JBS Tolleson Inc., bringing the total to 246 cases in 25 states, the U.S. Centers for Disease Control and Prevention says.<\/p>\n CDC Food Safety Alert<\/a><\/p>\n CDC: 8.8 Percent Uninsured in U.S. in First Half of 2018<\/font><\/p>\n FRIDAY, Nov. 16, 2018 (HealthDay News) — In the first six months of 2018, 8.8 percent of U.S. individuals of all ages were uninsured, which was not significantly different from 2017, according to a report published Nov. 15 by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Drug Overdose Mortality Rates Highest in United States<\/font><\/p>\n FRIDAY, Nov. 16, 2018 (HealthDay News) — In 2015, the United States had higher drug overdose mortality rates than those of many other Organisation for Economic Co-operation and Development member countries, according to a research letter published online Nov. 13 in the Annals of Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Treatments Appear No Better Than Placebo for Tennis Elbow<\/font><\/p>\n FRIDAY, Nov. 16, 2018 (HealthDay News) — At best, all treatments provide only small pain relief for tennis elbow, according to a review published online Oct. 31 in the American Journal of Sports Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Harms ID’d With Nonoperative Management of Appendicitis<\/font><\/p>\n THURSDAY, Nov. 15, 2018 (HealthDay News) — Patients with uncomplicated appendicitis undergoing nonoperative management are more likely to have an appendicitis-associated readmission and to develop an abscess, although index hospitalization costs are lower compared with appendectomy, according to a study published online Nov. 14 in JAMA Surgery<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Name-Brand Medications Driving Spike in U.S. Drug Spending<\/font><\/p>\n THURSDAY, Nov. 15, 2018 (HealthDay News) — Rising drug spending in the United States is being fueled by expensive name-brand prescription medicines, a new study shows.<\/p>\n NBC News<\/i> Article<\/a><\/p>\n Blue Cross Blue Shield Report<\/a><\/p>\n Patient Experiences Shed Light on Diagnostic Errors<\/font><\/p>\n THURSDAY, Nov. 15, 2018 (HealthDay News) — Data from patient- and family-reported error narratives indicate that problems related to patient-physician interactions are major contributors to diagnostic errors, according to a study published in the November issue of Health Affairs<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n AMA to Collect Data on Suicide Among Doctors-in-Training<\/font><\/p>\n WEDNESDAY, Nov. 14, 2018 (HealthDay News) — By collecting data on suicides by medical students, residents, and fellows, the American Medical Association hopes to identify ways to reduce suicides among doctors-in-training. The data collection policy was approved at a meeting yesterday.<\/p>\n More Information<\/a><\/p>\n Red Cross Issues Urgent Call for Blood Ahead of the Holidays<\/font><\/p>\n WEDNESDAY, Nov. 14, 2018 (HealthDay News) — There is an urgent need for blood and platelet donations in the United States because donations during September and October fell 21,000 units short of hospital needs, the American Red Cross says.<\/p>\n More Information<\/a><\/p>\n CDC Probe Continues as Cases of Acute Flaccid Myelitis Rise<\/font><\/p>\n WEDNESDAY, Nov. 14, 2018 (HealthDay News) — Cases of a mysterious polio-like illness continue to mount in the United States, and health officials are scrambling to figure out the cause.<\/p>\n HealthDay<\/i> Article<\/a><\/p>\n Abstract\/Full Text<\/a><\/p>\n No Efficacy Signal for Fluoxetine in EV-D68 Acute Flaccid Myelitis<\/font><\/p>\n TUESDAY, Nov. 13, 2018 (HealthDay News) — The antiviral agent fluoxetine is well tolerated but is not effective for patients with proven or presumptive enterovirus D68-associated acute flaccid myelitis (AFM), according to a study published online Nov. 9 in Neurology<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n One-Third of Peds Medication Errors Due to Usability Issues<\/font><\/p>\n TUESDAY, Nov. 13, 2018 (HealthDay News) — More than one-third of pediatric patient safety reports in 2012 to 2017 that were related to electronic health record (EHR) use were attributed to usability issues, according to a study published in the November issue of Health Affairs<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Repetitive Hits May Predispose Athletes to Concussion<\/font><\/p>\n TUESDAY, Nov. 13, 2018 (HealthDay News) — Repetitive head impact exposure appears to be a predisposing factor for the onset of concussion, according to a study published online Oct. 22 in the Annals of Biomedical Engineering<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n CDC: Gun Deaths on the Rise in the United States<\/font><\/p>\n FRIDAY, Nov. 9, 2018 (HealthDay News) — Homicides and suicides involving guns are on the rise in the United States, according to a federal government study.<\/p>\n CNN<\/i> Article<\/a><\/p>\n MMWR<\/i> Article<\/a><\/p>\n CDC Warns of Salmonella<\/i> Illnesses Linked to Raw Turkey<\/font><\/p>\n THURSDAY, Nov. 8, 2018 (HealthDay News) — The total number of illnesses in a Salmonella<\/i> outbreak linked with raw turkey products now stands at 164 people across 35 states, according to the U.S. Centers for Disease Control and Prevention.<\/p>\n More Information<\/a><\/p>\n FDA Approves New Version of OTC Primatene Mist<\/font><\/p>\n THURSDAY, Nov. 8, 2018 (HealthDay News) — A new version of an over-the-counter asthma inhaler that was taken off the market in 2011 has been approved by the U.S. Food and Drug Administration.<\/p>\n More Information<\/a><\/p>\n Concussion-Related Biomarkers Vary Based on Sex, Race<\/font><\/p>\n THURSDAY, Nov. 8, 2018 (HealthDay News) — Concussion-related serum biomarkers vary by sex and race, which may complicate their interpretation, according to three studies published online Nov. 7 in Neurology<\/i>.<\/p>\n Abstract\/Full Text 1 (subscription or payment may be required)<\/a><\/p>\n Abstract\/Full Text 2 (subscription or payment may be required)<\/a><\/p>\n Abstract\/Full Text 3 (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Possible Salmonella<\/i> Prompts Duncan Hines Cake Mix Recall<\/font><\/p>\n WEDNESDAY, Nov. 7, 2018 (HealthDay News) — Four varieties of Duncan Hines cake mix have been recalled due to possible Salmonella<\/i> contamination.<\/p>\n More Information<\/a><\/p>\n Medicaid Expansion Approved in Three Republican-Leaning States<\/font><\/p>\n WEDNESDAY, Nov. 7, 2018 (HealthDay News) — Hundreds of thousands more low-income Americans could get health insurance after voters in three Republican-leaning states approved Medicaid expansion in the midterm elections.<\/p>\n CNBC<\/i> Article<\/a><\/p>\n Peds Firearm-Related Injuries Lead to Clinical, Financial Burden<\/font><\/p>\n WEDNESDAY, Nov. 7, 2018 (HealthDay News) — For pediatric patients, the clinical and financial burdens associated with firearm-related injuries are considerable, according to a research letter published online Oct. 29 in JAMA Pediatrics<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n CDC: Cases of Polio-Like Illness Still Increasing in the U.S.<\/font><\/p>\n TUESDAY, Nov. 6, 2018 (HealthDay News) — Cases of a polio-like condition that mainly affects children continue to rise this year in the United States, health officials say.<\/p>\n More Information: CDC<\/a><\/p>\n New Guidelines Issued for Patellofemoral Pain Management<\/font><\/p>\n TUESDAY, Nov. 6, 2018 (HealthDay News) — The National Athletic Trainers’ Association has issued recommendations for identifying and managing patients with patellofemoral pain (PFP); these recommendations form the basis of a position statement published in the September issue of the Journal of Athletic Training<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Blood Donations Exceeded Demand After Las Vegas Shooting<\/font><\/p>\n TUESDAY, Nov. 6, 2018 (HealthDay News) — Nearly 500 blood components were transfused in the first 24 hours following the Las Vegas shooting on Oct. 1, 2017, while more than 800 units of blood were donated in the immediate aftermath, according to a study published online Nov. 2 in the Journal of Trauma and Acute Care Surgery<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Characteristics of Black AMI Patients Impact Mortality Rate<\/font><\/p>\n MONDAY, Nov. 5, 2018 (HealthDay News) — For patients with acute myocardial infarction (AMI), mortality rates differ based on characteristics associated with race, according to a study published online Nov. 2 in JAMA Network Open<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Surgery Restores Boy’s Ability to Walk Post-Acute Flaccid Myelitis<\/font><\/p>\n MONDAY, Nov. 5, 2018 (HealthDay News) — A first-of-its-kind surgery has restored the ability to walk in a boy paralyzed by acute flaccid myelitis (AFM).<\/p>\n CBS News<\/i> Article<\/a><\/p>\n More Information: CDC<\/a><\/p>\n U.S. Opioid Overdose Deaths Reach Record Number<\/font><\/p>\n FRIDAY, Nov. 2, 2018 (HealthDay News) — The number of opioid overdose deaths in the United States reached a new record last year with 72,000 deaths, which works out to about 200 a day, according to a Drug Enforcement Administration report released today. The report comes just over a week after U.S. health secretary Alex Azar said overdose deaths have started to level off.<\/p>\n AP News<\/i> Article<\/a><\/p>\n 2018 National Drug Threat Assessment<\/a><\/p>\n Sign-Up Season Begins on HealthCare.gov<\/font><\/p>\n FRIDAY, Nov. 2, 2018 (HealthDay News) — The federal government website where Americans can sign up for health insurance under the Affordable Care Act is up and running, officials said yesterday.<\/p>\n AP News<\/i> Article<\/a><\/p>\n