March 2019 Briefing - Emergency Medicine

Here are what the editors at HealthDay consider to be the most important developments in Emergency Medicine for March 2019. 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.

Three Interventions Involved in Decrease in Combat Mortality

FRIDAY, March 29, 2019 (HealthDay News) -- Increased use of tourniquets, blood transfusions, and more rapid prehospital transport time accounted for 44.2 percent of the total mortality reduction seen over time in Afghanistan and Iraq, according to a study published online March 27 in JAMA Surgery.

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CDC: 2017 to 2018 Saw Increase in Enterovirus D68 Detection

FRIDAY, March 29, 2019 (HealthDay News) -- Based on active surveillance data of acute respiratory illness (ARI), enterovirus D68 (EV-D68) was detected in 0.8 percent of patients in 2017 and in 13.9 percent in 2018, according to research published in the March 29 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Doctors With Malpractice Claims More Likely to Leave Medicine

THURSDAY, March 28, 2019 (HealthDay News) -- Physicians with one or more paid malpractice claims are more likely to leave practice or shift into smaller practice settings, according to a study published in the March 28 issue of the New England Journal of Medicine.

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U.S. Measles Cases Hit 314 This Year

TUESDAY, March 26, 2019 (HealthDay News) -- There have been at least 314 reported cases of measles in the United States so far this year, according to new government data.

CNN Article
The New York Times Article
More Information: CDC

$775 Million Settlement Reached in Xarelto Lawsuits

TUESDAY, March 26, 2019 (HealthDay News) -- A settlement of $775 million will be paid to settle lawsuits involving the blood thinner Xarelto, Johnson & Johnson and Bayer said Monday.

The New York Times Article

Douglas County, Colorado, Ranked as Healthiest Community

TUESDAY, March 26, 2019 (HealthDay News) -- The 2019 healthiest community in America is Douglas County, Colorado, according to a report published online March 26 by U.S. News & World Report, in conjunction with the Aetna Foundation.

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Risk for Miscarriage Increased With Night Work During Pregnancy

TUESDAY, March 26, 2019 (HealthDay News) -- Night work during pregnancy seems to confer an increased risk for miscarriage, with the risk increased for two or more night shifts the previous week, according to a study published online March 25 in Occupational & Environmental Medicine.

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Blindfolding Leader Improves Pediatric Resuscitation Training

TUESDAY, March 26, 2019 (HealthDay News) -- Team leaders who wear a blindfold during pediatric resuscitation simulation-based training show improved leadership skills compared with standard training teams, according to a study recently published in Frontiers in Pediatrics.

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ED Visits in Colorado More Frequent for Inhaled Versus Edible Cannabis

TUESDAY, March 26, 2019 (HealthDay News) -- Emergency department visits in Colorado attributable to inhaled cannabis are more frequent than those attributable to edible cannabis, according to a study published online March 26 in the Annals of Internal Medicine.

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Avocados Recalled by California Company

MONDAY, March 25, 2019 (HealthDay News) -- Possible listeria contamination has led to a recall of avocados by Henry Avocado, a grower and distributor based near San Diego.

AP News Article
More Information: FDA

Mumps Outbreak at Temple University Reaches 74 Cases

MONDAY, March 25, 2019 (HealthDay News) -- A mumps outbreak that began last month at Temple University in Philadelphia has reached 15 confirmed and 59 probable cases.

CNN Article
More Information: CDC

2019 Residency Match Day Was Largest in History

MONDAY, March 25, 2019 (HealthDay News) -- The 2019 Main Residency Match was the largest in history, with a record high of 38,376 applicants for 35,185 positions, according to 2019 Match Day results released by the National Resident Matching Program.

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Aspiration Noninferior to Stent Retriever for Clot Removal

MONDAY, March 25, 2019 (HealthDay News) -- Aspiration is as effective as the traditional stent retriever approach for clot removal in patients presenting with large-vessel occlusion stroke, according to a study published online March 9 in The Lancet.

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DG/health NATURALS Cough Syrup + Mucus for Infants Recalled

THURSDAY, March 21, 2019 (HealthDay News) -- One lot of DG/health NATURALS baby Cough Syrup + Mucus is being recalled due to possible contamination with potentially harmful bacteria, says maker Kingston Pharma, LLC.

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Recent Increase Reported in Drug Overdose Deaths Involving Fentanyl

THURSDAY, March 21, 2019 (HealthDay News) -- From 2011 to 2016, there was an increase in drug overdose deaths involving fentanyl, according to the March 21 National Vital Statistics Reports, a publication from the U.S. Centers for Disease Control and Prevention.

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Three Factors Predict Psych Events With Drugs for Smoking Cessation

THURSDAY, March 21, 2019 (HealthDay News) -- Three factors predict clinically significant neuropsychiatric adverse events (NPSAEs) in smokers with or without mental health conditions who use cessation pharmacotherapy, according to a study published online March 7 in the Journal of General Internal Medicine.

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Daily Cannabis Use May Up Risk for Developing Psychotic Disorder

WEDNESDAY, March 20, 2019 (HealthDay News) -- Cannabis use is associated with increased odds of psychotic disorder, according to a study published online March 19 in The Lancet Psychiatry.

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Overall, Physicians Are Happy and Enjoy Their Lives

WEDNESDAY, March 20, 2019 (HealthDay News) -- Overall, physicians are happy and enjoy their lives, according to the 2019 American Academy of Family Physicians (AAFP)/CompHealth Physician Happiness Survey published online March 19.

2019 AAFP/CompHealth Physician Happiness Survey

Novel Checklist Can Distinguish Anthrax Exposure From Other Illnesses

TUESDAY, March 19, 2019 (HealthDay News) -- A newly developed checklist can rapidly identify anthrax cases after a suspected mass exposure, according to a study published online March 19 in the Annals of Internal Medicine.

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Female Emergency Physicians Paid Less Than Males

TUESDAY, March 19, 2019 (HealthDay News) -- A gender-based salary gap persists among academic emergency medicine physicians, according to a study published in the March issue of Academic Emergency Medicine.

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Multiple Layers of Protection Recommended to Prevent Drowning

MONDAY, March 18, 2019 (HealthDay News) -- Multiple layers of protection are recommended to prevent drowning, according to a policy statement published online March 15 in Pediatrics.

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2011 to 2015 Saw Increase in Psychiatric ED Visits for Youth

MONDAY, March 18, 2019 (HealthDay News) -- From 2011 to 2015, there was an increase in visits to the emergency department for psychiatric purposes among youth across the United States, according to a study published online March 18 in Pediatrics.

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Outcomes for AMI Improved During 1995 to 2014

MONDAY, March 18, 2019 (HealthDay News) -- Short-term mortality and readmissions improved from 1995 to 2014 for patients with acute myocardial infarction (AMI), according to a study published online March 15 in JAMA Network Open.

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Average of 8.8 Inactive Ingredients Found in Oral Medications

MONDAY, March 18, 2019 (HealthDay News) -- Oral forms of medications contain an average of 8.8 inactive ingredients, many of which could cause adverse reactions, according to a perspective piece published in the March 13 issue of Science Translational Medicine.

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Young Child Goes to ED for Medicine Poisoning Every 10 Minutes

FRIDAY, March 15, 2019 (HealthDay News) -- The number of children younger than age 6 years treated at U.S. emergency departments for medicine poisonings has declined in recent years, but there were still nearly 52,000 cases in 2017, a new report says.

CNN Article
Safe Kids Worldwide Report

Physician Burnout Rate Increased From 2014 to 2017

FRIDAY, March 15, 2019 (HealthDay News) -- From 2014 to 2017, there was an increase in physician burnout, with early-career physicians being the most susceptible, according to a study published online March 15 in JAMA Network Open.

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Opioid Prescriptions Dropped for New Users From 2012 to 2017

FRIDAY, March 15, 2019 (HealthDay News) -- Many providers stopped initiating opioid therapy from July 2012 to December 2017, according to a report published in the March 14 issue of the New England Journal of Medicine.

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Average of 283,000 Children Have Sports-Related TBIs/Year

THURSDAY, March 14, 2019 (HealthDay News) -- Annually, an average of 283,000 children aged younger than 18 years seek care in emergency departments for sports- and recreation-related traumatic brain injuries (SRR-TBIs), according to research published in the March 15 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Troponin Assay Confusion May Cause Misdiagnosis of Acute MI

THURSDAY, March 14, 2019 (HealthDay News) -- The 99th centile of high-sensitivity cardiac troponin I (hs-cTnI) concentration is substantially higher in a hospital population than the manufacturer's recommended upper limit of normal (ULN), according to a study published online March 13 in The BMJ.

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Head of National Cancer Institute Named Acting FDA Commissioner

WEDNESDAY, March 13, 2019 (HealthDay News) -- The U.S. Food and Drug Administration will temporarily be overseen by the head of the National Cancer Institute when FDA Commissioner Scott Gottlieb, M.D., leaves the post next month.

AP News Article

Mumps Causes Quarantine of Over 2,200 Immigrant Detainees

WEDNESDAY, March 13, 2019 (HealthDay News) -- More than 2,200 people exposed to a mumps outbreak in two U.S. immigrant detention facilities have been quarantined, federal officials say.

AP News Article
More Information: CDC

Bronchiolitis Hospitalization in Infancy Predicts More Admissions

WEDNESDAY, March 13, 2019 (HealthDay News) -- More than one in five infants with a bronchiolitis hospital admission will have a subsequent respiratory-related hospital admission by age 5 years, according to a study published online March 6 in the Archives of Disease in Childhood.

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CDC: Most Americans Report Excellent, Good Health

WEDNESDAY, March 13, 2019 (HealthDay News) -- Most Americans report having excellent or good health and have a usual place to go for medical care, according to a report published March 13 for the National Health Interview Survey Early Release Program.

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CDC: 228 Measles Cases Already in 2019

TUESDAY, March 12, 2019 (HealthDay News) -- The number of measles cases in the United States increased by 22 since last week and now stands at 228, the U.S. Centers for Disease Control and Prevention says in an update.

CNN Article
More Information: CDC

Out-of-Hospital Cardiac Arrest Third Leading Cause of DALYs

TUESDAY, March 12, 2019 (HealthDay News) -- Disability-adjusted life year (DALY) rates for out-of-hospital cardiac arrest (OHCA) are 1,347 per 100,000 individuals, according to a study published online March 12 in Circulation: Cardiovascular Quality and Outcomes.

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Children With Poorly Controlled Asthma Suffer Academically

MONDAY, March 11, 2019 (HealthDay News) -- Urban children with asthma, particularly those who are ethnic minorities, have more school absences than their peers without asthma, according to a study published online March 11 in the Annals of Allergy, Asthma, & Immunology.

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Mumps Outbreak Reported at Temple University

FRIDAY, March 8, 2019 (HealthDay News) -- Ten confirmed cases of mumps, six probable cases, and a case under investigation have been reported at Temple University in Philadelphia.

CNN Article
More Information: CDC

Probiotic Sanitation Cuts Antimicrobial Resistance in Hospitals

THURSDAY, March 7, 2019 (HealthDay News) -- An environmental intervention of probiotic sanitation can effectively alter hospital microbiota, helping to limit the spread of antimicrobial resistance (AMR) in health care-associated infections (HAIs), according to a study published online Feb. 27 in Infection and Drug Resistance.

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2004 to 2017 Saw Increase in Fractures for Elderly Dog Walkers

THURSDAY, March 7, 2019 (HealthDay News) -- From 2004 to 2017, there was a significant increase in the annual number of elderly Americans presenting to U.S. emergency departments with fractures associated with walking leashed dogs, according to a research letter published online March 6 in JAMA Surgery.

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About 360,000 ED Visits Were for Nonmedical Drug Abuse in 2016

WEDNESDAY, March 6, 2019 (HealthDay News) -- In 2016, there were an estimated 358,247 emergency department visits for harms from nonmedical use of pharmaceuticals, according to a study published online March 6 in the American Journal of Preventive Medicine.

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FDA Approves Ketamine-Like Drug for Severe Depression

WEDNESDAY, March 6, 2019 (HealthDay News) -- The U.S. Food and Drug Administration on Tuesday approved the nasal spray medication esketamine -- a relative of the club drug and anesthetic ketamine -- for use against severe depression. Sold as Spravato, the fast-acting drug becomes the first new type of medicine approved in years against an illness that affects millions of Americans.

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Mental Health Symptoms Common After Mild Brain Injury

WEDNESDAY, March 6, 2019 (HealthDay News) -- Approximately one in five individuals may develop mental health symptoms up to six months after mild traumatic brain injury (mTBI), according to a study recently published in JAMA Psychiatry.

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Heat Alerts May Come Too Late in Northern States

TUESDAY, March 5, 2019 (HealthDay News) -- Hospital admissions for heat-related health problems increase in northern states long before heat alerts are issued, and these higher admission rates occur at lower temperatures than in the South, where people are more used to heat, the Associated Press reported.

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FDA Commissioner Dr. Scott Gottlieb Resigns

TUESDAY, March 5, 2019 (HealthDay News) -- In what probably came as a surprise to many, U.S. Food and Drug Administration Commissioner Scott Gottlieb, M.D., announced his resignation on Tuesday. Gottlieb is leaving the FDA because he wants to spend more time with his wife and three young daughters -- twins aged 9 and a 5-year-old -- one official said. He currently commutes each week from the family home in Connecticut to his Washington, D.C., office.

The Washington Post Article

Methanol Toxicity Can Result From Occupational Exposure

TUESDAY, March 5, 2019 (HealthDay News) -- Methanol toxicity can occur as a consequence of occupational exposure, according to a research letter published online March 5 in the Annals of Internal Medicine.

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Multidimensional Approach Cuts Unneeded Drug-Drug Interaction Alerts

MONDAY, March 4, 2019 (HealthDay News) -- An iterative, multidimensional quality improvement (QI) effort can reduce interruptive drug-drug interaction (DDI) alerts, according to a study published in the March issue of Pediatrics.

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New York City Measles Outbreak Cases Reach 121

FRIDAY, March 1, 2019 (HealthDay News) -- The number of measles cases in the New York City outbreak that began last October in the Orthodox Jewish community has reached 121, the city's health department said Thursday.

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Antibiotic Delay Leads to Increased Risks in Seniors With UTI

FRIDAY, March 1, 2019 (HealthDay News) -- Delaying or withholding antibiotics for older patients with a urinary tract infection (UTI) is associated with an increase in bloodstream infection and all-cause mortality, according to a study published online Feb. 27 in The BMJ.

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