Emergency Trauma

  • Thrombotic microangiopathy may signal IV drug abuse

    on February 23rd, 2017
    FROM BLOOD Extended-release oxymorphone hydrochloride (Opana ER) tablets contain an inert ingredient that can trigger acute microangiopathic hemolytic anemia and thrombocytopenia in those who abuse the drug via intravenous injection, Ryan Hunt, of the Food and Drug Administration, and his colleagues[...]
  • Sarcoidosis doubles hospitalized infection risk

    on February 23rd, 2017
    FROM ANNALS OF THE AMERICAN THORACIC SOCIETY Persons with sarcoidosis were found to have double the risk of hospitalization, compared with age-matched controls in a population-based cohort study that also linked glucocorticoid use with an increased risk of hospitalization in this group. Using data f[...]
  • Lanadelumab reduced hereditary angioedema attacks by 88%-100%

    on February 22nd, 2017
    FROM THE NEW ENGLAND JOURNAL OF MEDICINE Lanadelumab, a monoclonal antibody that inhibits kallikrein, reduced attacks of hereditary angioedema with C1 inhibitor deficiency by 88%-100% in a small, phase I trial. Hereditary angioedema with C1 inhibitor deficiency is a rare disorder characterized by un[...]
  • Bowel obstruction surgery complications predicted with risk tool

    on February 7th, 2017
    AT THE EAST ANNUAL SCIENTIFIC ASSEMBLY HOLLYWOOD, FLA. (FRONTLINE MEDICAL NEWS) – A three-parameter scoring system predicts which patients are likely to experience complications from surgery for a small bowel obstruction. The new tool – dubbed FAS (Functional status, American Society of Anesthes[...]
  • HFNC bests conventional O2 therapy

    on February 6th, 2017
    FROM CHEST In patients with acute respiratory failure, high-flow nasal cannula (HFNC) is more reliable than is conventional oxygen therapy at reducing rates of endotracheal intubation, although no significant difference was found when HFNC was compared with noninvasive positive pressure ventilation,[...]
  • Medical organizations respond to Trump’s immigration order

    on February 1st, 2017
    Organizations representing physicians and medical students have expressed their concern regarding President Trump’s executive order of Jan. 27 that curtails entry into the United States by travelers from seven Muslim-majority countries. The order also suspends for 120 days entry into the United St[...]
  • Increase brings flu activity back to seasonal high

    on January 30th, 2017
    Five states were reported to be at the highest level of influenza-like illness (ILI) activity for the week ending Jan. 21, compared with three states the week before, according to the Centers for Disease Control and Prevention. Alabama, Kansas, New Jersey, Oklahoma, and South Carolina were at level [...]
  • Watch for cutaneous manifestations of tropical infectious diseases

    on January 27th, 2017
    EXPERT ANALYSIS FROM THE CARIBBEAN DERMATOLOGY SYMPOSIUM Treatments designed to combat tropical infectious diseases are lacking, so the best thing travelers to these regions of the world can do is defend themselves against mosquito bites, according to Stephen K. Tyring, MD. “We have no specific th[...]
  • Incompatible Type A plasma found safe for initial resuscitation of trauma patients

    on January 25th, 2017
    AT THE EAST SCIENTIFIC ASSEMBLY HOLLYWOOD, FLA. (FRONTLINE MEDICAL NEWS) – Incompatible Type A plasma appears to be a safe and effective part of an initial resuscitation protocol for trauma patients who need a massive transfusion. There were no increases in morbidity, mortality, or transfusion-rel[...]
  • Tertiary center repeat CT scans find additional trauma injuries

    on January 23rd, 2017
    AT THE EAST ANNUAL SCIENTIFIC ASSEMBLY HOLLYWOOD, FLA. (FRONTLINE MEDICAL NEWS) – Imaging obtained at nontertiary trauma centers probably doesn’t tell the whole story of a trauma patent’s injuries, according to a new retrospective study. Repeat scans done at a Level 1 trauma center identified [...]
  • High volume of noninvasive ventilation in hospitals doesn’t ensure good outcomes in acute COPD

    on January 19th, 2017
    FROM ANNALS OF THE AMERICAN THORACIC SOCIETY Hospitals that frequently treat acute COPD exacerbations using noninvasive ventilation – a practice known to reduce mortality, length of stay, and the need for more invasive treatment – did not have better patient outcomes than did hospitals that used[...]
  • SOFA score may be best to identify sepsis in the ICU

    on January 17th, 2017
    FROM JAMA Among critically ill patients admitted to the ICU with a suspected infection, defining sepsis by an increase of 2 or more points in the Sequential Organ Failure Assessment score yielded greater prognostic accuracy for in-hospital mortality, compared with the quick SOFA and the systemic inf[...]
  • Understanding SSTI admission, treatment crucial to reducing disease burden

    on January 12th, 2017
    FROM HOSPITAL PRACTICE Decreasing the burden of treating skin and soft tissue infections is critical to improving care and reducing the costs that SSTIs place on health care facilities, according to a study published in Hospital Practice. “Despite expert panel recommendations and treatment guideli[...]
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