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Emergency Medicine
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1. Emergency medicine and the health of the public: the critical role of emergency departments in US public health.
Match Strength: 12.219

This issue of the Emergency Medicine Clinics of North America focuses on the spectrum of public health issues that significantly impact the practice of emergency medicine and which are faced by practicing emergency physicians on daily basis. Topics include public health research in the emergency department; respiratory threats; emerging infectious diseases; emergency department overcrowding; end-of-life care; racial and ethnic disparities; issues of health promotion and disease prevention encompassing substance abuse, alcohol, and injury and violence; and public health surveillance; and the ... Read More »
» Published in Emerg Med Clin North Am. 2006 Nov;24(4):815-9.

2. Health promotion and disease prevention in the emergency department.
Match Strength: 11.602

This article provides an overview of health promotion and disease and injury prevention concepts. It provides an emergency medicine perspective and reviews approaches that can be used in the emergency department. It discusses examples of innovative emergency medicine-based preventive activities including prevention in the prehospital setting. This article ends with a discussion of the importance of a system approach to prevention and suggests a role for a preventionist as a new member of the emergency medicine team. Publication Types: ... Read More »
» Published in Emerg Med Clin North Am. 2006 Nov;24(4):849-69.

3. Top-cited articles in emergency medicine.
Match Strength: 10.013

STUDY OBJECTIVE: Our purpose was to identify and examine the characteristics of the most frequently cited articles in the field of emergency medicine (EM). METHODS: Top-cited EM articles in 9 EM journals were identified by searching the computerized database of the Science Citation Index Expanded and the Web of Science (1972 to present). Median citation numbers, authors' nationalities, publication year, and fields of study were described and discussed. Mann-Whitney U and Kruskal-Wallis tests were used to compare groups. RESULTS: All top-cited articles were published during 1972 and 2002. We ... Read More »
» Published in Am J Emerg Med. 2006 Oct;24(6):647-54.

4. Tobacco control interventions in the emergency department: a joint statement of emergency medicine organizations.
Match Strength: 8.508

Smoking is the leading cause of preventable death and illness in the United States. National practice guidelines call for all health care providers to "ask" all patients about tobacco use, and to "advise, assess, assist, arrange" when smokers want to quit smoking (the "5 As"). Emergency departments (EDs) have not been an important locus of tobacco control efforts, although ED patients typically smoke at rates exceeding that of the general population, are interested in quitting, and often have limited access to primary care. To address the role of emergency medicine in tobacco control, the ... Read More »
» Published in Ann Emerg Med. 2006 Oct;48(4):e417-26. Epub 2006 Jun 8.

5. Tobacco control interventions in the emergency department: a joint statement of emergency medicine organizations.
Match Strength: 8.508

Smoking is the leading cause of preventable death and illness in the United States. National practice guidelines call for all health care providers to "ask" all patients about tobacco use, and to "advise, assess, assist, arrange" when smokers want to quit smoking (the "5 As"). Emergency departments (EDs) have not been an important locus of tobacco control efforts, although ED patients typically smoke at rates exceeding that of the general population, are interested in quitting, and often have limited access to primary care. To address the role of emergency medicine in tobacco control, the ... Read More »
» Published in J Emerg Nurs. 2006 Oct;32(5):370-81.

6. The future of emergency medicine public health research.
Match Strength: 8.346

This chapter addresses past successes and challenges and then elaborates on the potential for further advances in three areas that bridge emergency medicine and the broader public health and health services research agenda: (1) monitoring health care access; (2) surveillance of diseases, injuries, and health risks; and (3) delivering clinical preventive services. This article also suggests ways to advance policy-relevant research on systems of health and social welfare that impact the health of the public. Publication Types: ... Read More »
» Published in Emerg Med Clin North Am. 2006 Nov;24(4):1053-73.

7. Is digital intubation an option for emergency physicians in definitive airway management?
Match Strength: 8.282

OBJECTIVES: This study was designed to determine whether digital intubation is a valid option for definitive airway control by emergency physicians. METHODS: Digital intubation was performed by 18 emergency medicine residents and 4 staff emergency medicine physicians on 6 different cadavers. Placement was confirmed by direct laryngoscopy. The total time for all attempts used, as well as the number of attempts, was recorded. Each participant attempted intubation on all 6 cadavers. RESULTS: For 5 of the 6 cadavers, successful intubation occurred 90.9% of the time (confidence interval [CI], 85.5% ... Read More »
» Published in Am J Emerg Med. 2006 Oct;24(6):729-32.

8. Approaches to patient health information exchange and their impact on emergency medicine.
Match Strength: 7.692

Regional health information organizations and electronic health information exchange may have an important impact on the practice of emergency medicine in the United States. Regional health information organizations are local or regional information-sharing networks that enable electronic data interchange among stakeholders in a given geographic area. These stakeholders may include hospitals, skilled nursing facilities, clinics, private physicians' offices, pharmacies, laboratories, radiology facilities, health departments, payers, and possibly the patients themselves. Regional health ... Read More »
» Published in Ann Emerg Med. 2006 Oct;48(4):426-32. Epub 2006 Jun 6.

9. Use of ED diagnosis to determine medical necessity of EMS transports.
Match Strength: 7.614

OBJECTIVE: To examine interrater agreement for classifying emergency medical services transports as medically unnecessary using emergency department diagnosis as the sole determining factor. METHODS: Three emergency physicians and two family medicine physicians classified 913 International Classification of Diseases, Ninth Revision (ICD-9) codes as medically necessary, unnecessary, or uncertain. Overall agreement, interrater agreement, and agreement within 17 major disease categories were measured using kappa statistics in SAS. RESULTS: Physicians rated between 25% and 65% of diagnoses codes ... Read More »
» Published in Prehosp Emerg Care. 2006 Oct-Dec;10(4):488-93.

10. Racial and ethnic disparities in the emergency department: a public health perspective.
Match Strength: 7.533

This article discusses racial and ethnic disparities from a public health perspective, specifically why they threaten to impede the efforts to improve the nation's health. The authors (1) provide background information, including a review of the Institute of Medicine report on health care disparities; (2) describe the racial and ethnic compositions of the individuals in the emergency department setting from the perspective of both the patient and health care provider; (3) discuss the most prevalent disease presentations to the emergency department that are likely to have racial and ethnic ... Read More »
» Published in Emerg Med Clin North Am. 2006 Nov;24(4):905-23.

11. The role of the emergency department in the care of homeless and disadvantaged populations.
Match Strength: 7.473

This article provides an overview of the role of the emergency department (ED) in the care of homeless and disadvantaged populations. It suggests that organized emergency medicine can have a significant impact on total community health by maintaining a universal "safety net" for the delivery of integrated health and human services. The epidemiology of social deprivation among ED patients is examined, with a particular focus on homelessness. Current research on the value of socio-medical integration in the ED setting is discussed, with emphasis on selected initiatives that have demonstrated ... Read More »
» Published in Emerg Med Clin North Am. 2006 Nov;24(4):839-48.

12. Methods of categorizing emergency department visit urgency: a survey of pediatric emergency medicine physicians.
Match Strength: 7.124

OBJECTIVE: Between 20% and 80% of emergency department (ED) visits are nonurgent. This variability in estimates is partially due to the multiple classification methods used, none of which has undergone validity or reliability testing. Our objectives were to determine the methods thought to be most valid and to understand expert perceptions of nonurgent ED utilization. METHODS: A survey of the Pediatric Emergency Medicine (PEM) Special Interest Group at the 2005 Pediatric Academic Societies meeting was conducted. An education session with case-based discussion for categorizing ED visit urgency ... Read More »
» Published in Pediatr Emerg Care. 2006 Sep;22(9):635-9.

13. Pay for Performance in Emergency Medicine.
Match Strength: 7.034

One of the latest market-based solutions to the rising costs and quality gaps in health care is pay for performance. Pay for performance is the use of financial incentives to promote the delivery of designated standards of care. Pay for performance represents a dramatic change in the reimbursement of providers, from fixed rates or fees, to variable compensation based on the quality of care. This article serves as an introduction to pay for performance. I discuss the goals and structure of pay for performance plans and their limitations and potential consequences in the health care arena. A ... Read More »
» Published in Ann Emerg Med. 2006 Sep 13;

14. Bedside lung ultrasound in the assessment of alveolar-interstitial syndrome.
Match Strength: 6.535

OBJECTIVES: To assess the potential of bedside lung ultrasound to diagnose the radiologic alveolar-interstitial syndrome (AIS) in patients admitted to an emergency medicine unit and to estimate the occurrence of ultrasound pattern of diffuse and multiple comet tail artifacts in diseases involving lung interstitium. METHODS: The ultrasonic feature of multiple and diffuse comet tail artifacts B line was investigated in each of 300 consecutive patients within 48 hours after admission to our emergency medicine unit. Sonographic examination was performed at bedside in a supine position. Eight ... Read More »
» Published in Am J Emerg Med. 2006 Oct;24(6):689-96.

15. The use of intramuscular benzodiazepines and antipsychotic agents in the treatment of acute agitation or violence in the emergency department.
Match Strength: 6.262

The management of an agitated, abusive or violent patient is a common and challenging problem in Emergency Medicine. Priorities include measures to ensure the safety of the patient and the emergency staff, including provision of physical restraint of the patient and evaluation for correctable medical causes of such behavior. Medications used in the treatment of such patients include benzodiazepines and antipsychotic agents. The newer atypical antipsychotic agents seem to provide a safe and effective treatment for such patients. The atypical antipsychotic agents may have fewer short-term side ... Read More »
» Published in J Emerg Med. 2006 Oct;31(3):317-24.

16. A comparison of paediatric soccer, gaelic football and rugby injuries presenting to an emergency department in Ireland.
Match Strength: 6.017

OBJECTIVES: Children presenting with sport related injuries (SRIs) as a result of soccer, rugby and gaelic football are frequently seen in an emergency medicine (EM) setting in Ireland. A comparison of the demographics of injuries in these three sports has however not previously been performed. The purpose of this study was to provide up-to-date data on the nature of these SRIs. METHOD: Data was collected retrospectively on all children (<17 years of age), injured in these three sports, presenting to an emergency medicine department over 6 months, and was entered into a database for ... Read More »
» Published in Injury. 2007 Jan;38(1):104-11. Epub 2006 Sep 20.

17. Should I give you my smoking lecture now or later? Characterizing emergency physician smoking discussions and cessation counseling.
Match Strength: 5.715

STUDY OBJECTIVE: We determine frequency and manner in which emergency physicians address smoking with their patients. METHODS: This was a descriptive secondary analysis of 871 audiotapes of physician-patient interactions collected during a trial assessing the effect of computer-based health risk assessment on emergency physician-patient communication. Consenting nonemergency female patients, ages 18 to 65 years, were enrolled from 2 socioeconomically diverse academic emergency department (EDs) for audiotaping of the ED visit. All audio files with any mention of smoking were independently coded ... Read More »
» Published in Ann Emerg Med. 2006 Oct;48(4):406-14, 414.e1-7. Epub 2006 Jun 30. Comment in: Ann Emerg Med. 2006 Oct;48(4):415-6.

18. Prevalence of tubo-ovarian abscess in adolescents diagnosed with pelvic inflammatory disease in a pediatric emergency department.
Match Strength: 4.447

OBJECTIVES: The rate of tubo-ovarian abscess (TOA) in adolescents with pelvic inflammatory disease (PID) is reported to range from 17% to 20%. However, no reports have focused specifically on the adolescent patient presenting to the emergency department (ED), regardless of whether they are treated in the inpatient or outpatient setting. Recent changes in the 2002 Centers for Disease Control and Prevention (CDC) Guidelines for the Treatment of Sexually Transmitted Diseases and sexually transmitted infection screening programs are likely to have impacted both the prevalence of PID and the rates ... Read More »
» Published in Pediatr Emerg Care. 2006 Sep;22(9):621-5.

19. Rationale for establishing regional ST-elevation myocardial infarction receiving center (SRC) networks.
Match Strength: 4.384

Recent developments have provided a unique opportunity for the organization of regional ST-elevation myocardial infarction (STEMI) receiving center (SRC) networks. Because cumulative evidence has demonstrated that rapid primary percutaneous coronary intervention (PCI) is the most effective reperfusion strategy for acute STEMI, the development of integrated SRC networks could extend the benefits of primary PCI to a much larger segment of the US population. Factors that favor the development of regional SRC networks include results from recently published clinical trials, insight into ... Read More »
» Published in Am Heart J. 2006 Oct;152(4):661-7.

20. The Health Commons and care of New Mexico's uninsured.
Match Strength: 4.092

PURPOSE: A seamless system of social, behavioral, and medical services for the uninsured was created to address the social determinants of disease, reduce health disparities, and foster local economic development in 2 inner-city neighborhoods and 2 rural counties in New Mexico. METHODS: Our family medicine department helped urban and rural communities that had large uninsured, minority populations create Health Commons models. These models of care are characterized by health planning shared by community stakeholders; 1-stop shopping for medical, behavioral, and social services; employment of ... Read More »
» Published in Ann Fam Med. 2006 Sep-Oct;4 Suppl 1:S22-7; discussion S58-60.

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