Emergency Medicine

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The opioid epidemic is driving a steep increase in infection-related stroke hospitalizations

ASA: Opioid Epidemic Tied to Infection-Related Stroke

Number of hospitalizations steady in 1993 to 2008, but increased significantly in 2008 to 2015
Stroke patients who receive intensive blood pressure lowering are less likely to suffer brain bleeds when treated with clot-busting therapies

ASA: Intensive BP Control Lowers Bleeding Risk in Stroke Patients

Findings seen among patients with ischemic stroke, high systolic BP receiving alteplase for thrombolysis
Many systematic review protocols in the International Prospective Register of Systematic Reviews do not include adverse event reporting

Many Systematic Reviews Do Not Fully Report Adverse Events

Of 146 protocols analyzed, 65 percent fully reported adverse events as intended by the protocol
In 2017

Health Care Spending Per Person Increased to $5,641 in 2017

Spending per person increased 4.2 percent from 2016 to 2017; utilization increased 0.5 percent
There is considerable race/ethnicity and income-level variation in the opioid epidemic

Racial/Ethnic, Income Variation ID’d in the Opioid Epidemic

Study, two research letters describe opioid prescribing trends and interactions with race, age
Longer emergency medical service response times are associated with higher rates of motor vehicle crash mortality

Delayed EMS Response Time Tied to Mortality After Car Accident

Longer emergency medical services response increases motor vehicle crash mortality in urban, rural settings
Since 2008

CDC: Heart Attack Awareness Improved Since 2008

However, only about 50 percent of adults knew all five common heart attack symptoms in 2017
A model has been developed for predicting recurrence among kidney stone formers

Predictors of Kidney Stone Recurrence Identified

Risk for recurrence within 5 years varies with risk factors, past episodes, time since last episode
Health clinics in Clark County

Measles Outbreak Triggers Sharp Rise in Demand for Vaccine

More than 50 confirmed cases of measles, 11 suspected cases reported in Clark County, Washington, this year
For patients with out-of-hospital cardiac arrest occurring in outpatient dialysis clinics

Dialysis Staff-Initiated CPR Ups Outcomes in Cardiac Arrest

Staff-initiated CPR linked to increase in hospital discharge, favorable neurologic status on discharge