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Here are what the editors at HealthDay consider to be the most important developments in Emergency Medicine for January 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
Increased Risk of Appendicitis One Week After Colonoscopy<\/font><\/p>\n TUESDAY, Jan. 30, 2018 (HealthDay News) — The risk of appendicitis is increased in the week following colonoscopy, according to a research letter published in the January issue of JAMA Surgery<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Glucagon Underutilized in Prehospital, Emergency Settings<\/font><\/p>\n TUESDAY, Jan. 30, 2018 (HealthDay News) — Glucagon is being underutilized in the prehospital and outpatient setting, according to a research letter published recently in the Annals of Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Case Report: Fentanyl Use Associated With Amnesia<\/font><\/p>\n MONDAY, Jan. 29, 2018 (HealthDay News) — Another case of unusual amnestic syndrome that includes bilateral hippocampal lesions on magnetic resonance imaging has been described in a case report published online Jan. 30 in the Annals of Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Prevalence of PE Low for Patients Presenting to ER With Syncope<\/font><\/p>\n MONDAY, Jan. 29, 2018 (HealthDay News) — For patients presenting to the emergency department with syncope, the prevalence of pulmonary embolism (PE) is low, according to a study published online Jan. 29 in JAMA Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Regulators Trying to Reduce Physician Burden Linked to EHR<\/font><\/p>\n MONDAY, Jan. 29, 2018 (HealthDay News) — The Office of the National Coordinator for Health Information Technology (ONC) is trying to address some of the issues relating to physician electronic health record (EHR) burden, partly with the appointment of Don Rucker, M.D., who is skilled in informatics and board-certified in emergency and internal medicine, according to an article published in Medical Economics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Health Care Spending Up, Mainly Due to Rising Prices<\/font><\/p>\n MONDAY, Jan. 29, 2018 (HealthDay News) — Americans under age 65 years who were insured through their employer spent more than ever before on health care in 2016, with faster spending growth in 2016 than in recent years, according to the Health Care Cost Institute (HCCI)’s annual Health Care Cost and Utilization Report<\/i>.<\/p>\n More Information<\/a><\/p>\n Pharmacist Education May Cut Junior Doctor Prescription Errors<\/font><\/p>\n MONDAY, Jan. 29, 2018 (HealthDay News) — Pharmacist feedback and education is effective at reducing prescription writing errors by junior doctors in an inpatient setting, according to a study published online Jan. 24 in the Journal of Pharmacy Practice and Research<\/i>.<\/p>\n Abstract<\/a><\/p>\n Full Text (subscription or payment may be required)<\/a><\/p>\n Heart Disease, Stroke Risk Up Even Smoking 1 Cigarette\/Day<\/font><\/p>\n THURSDAY, Jan. 25, 2018 (HealthDay News) — Smoking one cigarette per day is still associated with a significant increased risk of coronary heart disease and stroke, according to research published online Jan. 24 in The BMJ<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Influenza, Some Viral URIs Increase Risk of Acute MI<\/font><\/p>\n WEDNESDAY, Jan. 24, 2018 (HealthDay News) — Certain respiratory infections, especially influenza, are associated with an increased risk of acute myocardial infarction during the first seven days after respiratory specimen collection, according to a study published in the Jan. 25 issue of the New England Journal of Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Prescribing of Opioids Adds to Patient Satisfaction With Care<\/font><\/p>\n WEDNESDAY, Jan. 24, 2018 (HealthDay News) — Patients with musculoskeletal conditions who are using prescribed opioids are more likely to be highly satisfied with their care, according to a study published in the January\/February issue of the Annals of Family Medicine<\/i>.<\/p>\n Abstract<\/a><\/p>\n Full Text<\/a><\/p>\n In-Hospital Cardiac Arrest Survival Differs With Time of Day<\/font><\/p>\n WEDNESDAY, Jan. 24, 2018 (HealthDay News) — Survival after in-hospital cardiac arrest (IHCA) that occurs during off-hours remains lower versus on-hours IHCA, according to a study published in the Jan. 30 issue of the Journal of the American College of Cardiology<\/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 Housing Instability Linked to Poor Caregiver, Child Health<\/font><\/p>\n TUESDAY, Jan. 23, 2018 (HealthDay News) — Housing instability is associated with adverse caregiver and child health among low-income renter households, according to a study published online Jan. 22 in Pediatrics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Available Evidence on Marijuana’s Cardiovascular Effects Is Scant<\/font><\/p>\n TUESDAY, Jan. 23, 2018 (HealthDay News) — The evidence examining associations between marijuana use and cardiovascular risk factors and outcomes is limited, according to a review published online Jan. 23 in the Annals of Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Closed-Head Injury May Induce TBI Even If No Concussive Sx<\/font><\/p>\n TUESDAY, Jan. 23, 2018 (HealthDay News) — Closed-head impact injuries can induce pathologic traumatic brain injury, independent of concussive signs, according to a study published online Jan. 18 in Brain<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Out-of-Pocket Expenditures Down With ACA Implementation<\/font><\/p>\n TUESDAY, Jan. 23, 2018 (HealthDay News) — Implementation of the Affordable Care Act (ACA) was associated with reduced out-of-pocket spending, although increases were noted in mean premium spending, according to a study published online Jan. 22 in JAMA Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Diabetes Tied to Higher Rates of Serious Infection<\/font><\/p>\n TUESDAY, Jan. 23, 2018 (HealthDay News) — Patients with diabetes, particularly type 1 diabetes mellitus (T1DM), are at increased risk of serious infection, according to a study published online Jan. 12 in Diabetes Care<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n New ACC\/AHA Recs Developed for BP Evaluation, Management<\/font><\/p>\n MONDAY, Jan. 22, 2018 (HealthDay News) — New recommendations have been developed for the prevention, detection, evaluation, and management of high blood pressure (BP). The recommendations are summarized in an article published online Jan. 23 in the Annals of Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Ideas and Opinions (subscription or payment may be required)<\/a><\/p>\n Walmart Launches Disposal Solution for Opioids, Rx Meds<\/font><\/p>\n MONDAY, Jan. 22, 2018 (HealthDay News) — Walmart is launching a first-of-its-kind opioid disposal solution in all company pharmacies, which is available at no cost, according to a press release from the company.<\/p>\n More Information<\/a><\/p>\n Older Adults Less Likely to Have Provider-Ordered Flu Testing<\/font><\/p>\n MONDAY, Jan. 22, 2018 (HealthDay News) — Older adults are less likely than younger adults to have provider-ordered influenza testing, according to a study published online Jan. 17 in the Journal of the American Geriatrics Society<\/i>.<\/p>\n Abstract<\/a><\/p>\n Full Text (subscription or payment may be required)<\/a><\/p>\n Confusion Common in Seniors Prescribed Antibiotics for UTI<\/font><\/p>\n MONDAY, Jan. 22, 2018 (HealthDay News) — Urinary tract infections (UTIs) are common in nursing home (NH) residents, and new or worsening confusion is strongly associated with antibiotic treatment for suspected UTI, according to a study published online Jan. 10 in the Journal of the American Geriatrics Society<\/i>.<\/p>\n Abstract<\/a><\/p>\n Full Text (subscription or payment may be required)<\/a><\/p>\n Urinalysis Is Effective for UTIs in Younger Febrile Infants<\/font><\/p>\n FRIDAY, Jan. 19, 2018 (HealthDay News) — For febrile infants age 60 days and younger, urinalysis is highly sensitive and specific for diagnosing urinary tract infections (UTIs), according to a study published online Jan. 16 in Pediatrics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n 24-Hour Primary Care Clinics Would Improve Continuity of Care<\/font><\/p>\n FRIDAY, Jan. 19, 2018 (HealthDay News) — A 24-hour primary care clinic with multiple doctors offering round-the-clock care would actualize better and more sustainable care, according to a report published by the American Academy of Family Physicians.<\/p>\n More Information<\/a><\/p>\n Pharmacist Participation in Stroke Response Cuts Door\u279cNeedle Time<\/font><\/p>\n FRIDAY, Jan. 19, 2018 (HealthDay News) — Having a pharmacist at bedside during acute ischemic stroke is associated with significantly shorter door-to-needle (DTN) times, according to a study published recently in the Annals of Pharmacotherapy<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Telemedicine Tied to Faster ER Care in Rural Areas<\/font><\/p>\n THURSDAY, Jan. 18, 2018 (HealthDay News) — Telemedicine cuts emergency department door-to-provider time in rural hospitals, according to a study published online Jan. 2 in Telemedicine and e-Health<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Significant Ultrasound Practice Needed to Diagnose Appendicitis<\/font><\/p>\n THURSDAY, Jan. 18, 2018 (HealthDay News) — There is a learning curve among novice emergency medicine residents in using emergency ultrasonography to diagnose acute appendicitis, according to a study published online Jan. 5 in the Journal of Clinical Ultrasound<\/i>.<\/p>\n Abstract<\/a><\/p>\n Full Text (subscription or payment may be required)<\/a><\/p>\n Professionals Disagree About Asking Patients About Sexuality<\/font><\/p>\n THURSDAY, Jan. 18, 2018 (HealthDay News) — National Health Service (NHS) England recently recommended that professionals ask all patients their sexual orientation at every opportunity, although opinions are divided on whether this is appropriate, according to an article published online Jan. 17 in The BMJ<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Value of Doxylamine-Pyridoxine Questioned in Early Pregnancy<\/font><\/p>\n THURSDAY, Jan. 18, 2018 (HealthDay News) — Doxylamine-pyridoxine may be beneficial for nausea and vomiting symptoms in early pregnancy, but the magnitude of the difference is very small and may indicate no clinically important benefit, according to a study published online Jan. 17 in PLOS ONE<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Sulfonamides, Nitrofurantoin Being Given for UTI in Pregnancy<\/font><\/p>\n WEDNESDAY, Jan. 17, 2018 (HealthDay News) — For women with urinary tract infections (UTIs), the most frequently prescribed antibiotics during the first trimester are nitrofurantoin, ciprofloxacin, cephalexin, and trimethoprim-sulfamethoxazole, according to research published in the Jan. 12 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 Human Rhinovirus Commonly Detected in Febrile Infants<\/font><\/p>\n WEDNESDAY, Jan. 17, 2018 (HealthDay News) — For febrile infants, human rhinovirus (HRV) is common, and detection does not alter risk of concomitant urinary tract infection or invasive bacterial infection, according to a study published online Jan. 17 in Pediatrics<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Nearly 30 Percent of Veterans Report Current Tobacco Use<\/font><\/p>\n WEDNESDAY, Jan. 17, 2018 (HealthDay News) — Overall, 29.2 percent of veterans report current use of one of five tobacco products, according to research published in the Jan. 12 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 USPSTF: Evidence Lacking for Nontraditional CVD Risk Factors<\/font><\/p>\n TUESDAY, Jan. 16, 2018 (HealthDay News) — The U.S. Preventive Services Task Force (USPSTF) has concluded that current evidence is insufficient to assess the use of nontraditional risk factors for cardiovascular disease (CVD) risk assessment. They also conclude that evidence is lacking for the use of the ankle-brachial index (ABI) to screen for peripheral arterial disease (PAD) in asymptomatic individuals. These findings form the basis of two draft recommendation statements published online Jan. 16 by the USPSTF.<\/p>\n Evidence Review – CVD<\/a><\/p>\n Draft Recommendation Statement – CVD<\/a><\/p>\n Comment on Recommendation Statement – CVD<\/a><\/p>\n Evidence Review – PAD<\/a><\/p>\n Draft Recommendation Statement – PAD<\/a><\/p>\n Comment on Recommendation Statement – PAD<\/a><\/p>\n Increased Risk of Thrombosis in Myeloproliferative Neoplasms<\/font><\/p>\n TUESDAY, Jan. 16, 2018 (HealthDay News) — Patients with myeloproliferative neoplasms (MPNs) have increased risk of arterial thrombosis and venous thrombosis across all age groups and MPN subtypes, according to a study published online Jan. 16 in the Annals of 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 Spontaneous Pharynx Perforation After Forceful or Stifled Sneeze<\/font><\/p>\n TUESDAY, Jan. 16, 2018 (HealthDay News) — Spontaneous pharyngeal perforation can occur after a forceful sneeze, according to a case report published online Jan. 15 in BMJ Case Reports<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Non-Ventilator Hospital-Acquired Pneumonia Risk Affects All Ages<\/font><\/p>\n FRIDAY, Jan. 12, 2018 (HealthDay News) — Non-ventilator hospital-acquired pneumonia (NV-HAP) is a significant burden in U.S. acute care hospitals and poses a risk to nonelderly, non-intensive unit (ICU) patients, according to research published in the January issue of the American Journal of Infection Control<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Tamper-Resistant Oxycodone Misused Less Often in Australia<\/font><\/p>\n FRIDAY, Jan. 12, 2018 (HealthDay News) — The tamper-resistant formulation of controlled-release oxycodone in Australia reduced tampering among high-risk populations, according to a study published online Jan. 10 in The Lancet Psychiatry<\/i>.<\/p>\n Abstract<\/a><\/p>\n Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Worry About Deportation May Increase CV Risk Factors<\/font><\/p>\n FRIDAY, Jan. 12, 2018 (HealthDay News) — Worry about deportation is significantly tied to higher levels of known cardiovascular risk factors, according to a study published online Jan. 8 in the Annals of Behavioral Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Considerable Economic Burden for Asthma in United States<\/font><\/p>\n FRIDAY, Jan. 12, 2018 (HealthDay News) — Asthma places a considerable economic burden on the United States, with a total cost of $81.9 billion in 2013, according to a study published online Jan. 12 in the Annals of the American Thoracic Society<\/i>.<\/p>\n Abstract<\/a><\/p>\n Full Text<\/a><\/p>\n Progress in Fighting Antibiotic Resistance Shown in CDC Map<\/font><\/p>\n THURSDAY, Jan. 11, 2018 (HealthDay News) — The U.S. Centers for Disease Control and Prevention has released new data in its Antibiotic Resistance Investment Map, which shows states’ progress in combating antibiotic resistance.<\/p>\n Press Release<\/a><\/p>\n AMA Online Tools Address Systems-Level Physician Burnout<\/font><\/p>\n THURSDAY, Jan. 11, 2018 (HealthDay News) — Tools and resources have been developed to help address physician burnout at the systems level, which may affect more than half of doctors, according to a report published by the American Medical Association (AMA).<\/p>\n More Information<\/a><\/p>\n More Sought Mental Health Specialty Care in 2008 to 2015<\/font><\/p>\n THURSDAY, Jan. 11, 2018 (HealthDay News) — Between 2008 and 2015 there was an increase in the number of U.S. adults who received outpatient mental health care in the specialty sector, according to a study published in the December issue of Health Affairs<\/i>.<\/p>\n Full Text (subscription or payment may be required)<\/a><\/p>\n Economic Impact of Physicians Quantified for 2015<\/font><\/p>\n WEDNESDAY, Jan. 10, 2018 (HealthDay News) — Physicians have a large economic impact across the nation, creating an aggregate of $2.3 trillion of economic activity and supporting employment of nearly 12.6 million Americans, according to a report published by the American Medical Association.<\/p>\n More Information<\/a><\/p>\n Some Patients Would Choose Antibiotics for Appendicitis<\/font><\/p>\n WEDNESDAY, Jan. 10, 2018 (HealthDay News) — Although most patients would choose surgical intervention for treatment of acute uncomplicated appendicitis, some would opt for antibiotics alone, according to a study published online Jan. 10 in JAMA Surgery<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n High-Risk Plaque on Coronary CTA Linked to Future MACE<\/font><\/p>\n WEDNESDAY, Jan. 10, 2018 (HealthDay News) — For outpatients with stable chest pain, high-risk plaque found by coronary computed tomographic angiography (CTA) is associated with subsequent major adverse cardiovascular events (MACE), according to a study published online Jan. 10 in JAMA Cardiology<\/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 Unstable Housing Tied to More Diabetes-Related ER Visits<\/font><\/p>\n WEDNESDAY, Jan. 10, 2018 (HealthDay News) — Unstable housing is associated with an increased likelihood of diabetes-related emergency department visits and hospitalization, according to a study published online Jan. 4 in Diabetes Care<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n AICDs Effective for Symptoms, Lethal Arrhythmia in Brugada<\/font><\/p>\n WEDNESDAY, Jan. 10, 2018 (HealthDay News) — Implantable cardioverter-defibrillators (ICDs) are effective in young patients with symptomatic Brugada syndrome, according to a study published in the Jan. 16 issue of the Journal of the American College of Cardiology<\/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 School-Based Telemedicine Asthma Management Is Effective<\/font><\/p>\n WEDNESDAY, Jan. 10, 2018 (HealthDay News) — A School-Based Telemedicine Enhanced Asthma Management (SB-TEAM) program can improve symptoms for children with persistent asthma, according to a study published online Jan. 8 in JAMA Pediatrics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Intense End-of-Life Care Found to Be Less Likely for VA Patients<\/font><\/p>\n TUESDAY, Jan. 9, 2018 (HealthDay News) — Higher-intensity end-of-life care may be driven by financial incentives present in fee-for-service Medicare but not in the Veteran Affairs (VA) integrated system, according to a report published in the January issue of Health Affairs<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n HIV Screening Most Optimal at 25 Years of Age If No Risk Factors<\/font><\/p>\n TUESDAY, Jan. 9, 2018 (HealthDay News) — For young adults without known risk factors, a one-time routine HIV screen at 25 years would optimize clinical outcomes and be cost-effective, according to a study published in the January issue of the Journal of Adolescent Health<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Idiopathic Thrombocytopenic Purpura Tied to Higher CVD Risk<\/font><\/p>\n MONDAY, Jan. 8, 2018 (HealthDay News) — There is an increased risk of developing cardiovascular disease (CVD) among patients with idiopathic thrombocytopenic purpura (ITP), especially those who undergo splenectomy, according to a study published online Jan. 3 in the Journal of Thrombosis and Haemostasis<\/i>.<\/p>\n Abstract<\/a><\/p>\n Full Text (subscription or payment may be required)<\/a><\/p>\n CV Exercise Betters Cardiac Aging in Sedentary Middle-Aged Adults<\/font><\/p>\n MONDAY, Jan. 8, 2018 (HealthDay News) — Two years of high-intensity exercise training (ExT) is associated with improved maximal oxygen uptake and reduced cardiac stiffness in previously sedentary healthy middle-aged adults, according to a study published online Jan. 8 in Circulation<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n 2005 to 2015 Saw Fewer High School Students Having Sex<\/font><\/p>\n MONDAY, Jan. 8, 2018 (HealthDay News) — For high school students, the prevalence of ever having had sexual intercourse decreased from 2005 to 2015, according to research published in the Jan. 5 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report<\/i>.<\/p>\n