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Emergency Medicine

Home Emergency Medicine
There is an association for state-level firearm ownership rates with domestic

State-Level Firearm Ownership Linked to Domestic Firearm Homicide

No correlation observed for firearm ownership with nondomestic firearm homicide
The number of days supplied of an initial opioid prescription is the strongest risk factor for developing long-term opioid use among previously opioid-free injured workers

Supply of Opioids Predicts Long-Term Use in Injured Workers

Odds of long-term opioid use up with initial Rx for five- to nine-day supply versus supply of less than five days
Athletes with attention-deficit/hyperactivity disorder with concussion seem to have longer recovery than controls

Recovery From Concussion Longer for Athletes With ADHD

Athletes with ADHD had more symptoms at 24 to 48 hours, regardless of psychostimulant use
People living with HIV have a higher risk for cardiovascular disease

People Living With HIV Have Higher Risk for Cardiovascular Disease

Risk for heart failure and stroke particularly higher; risk for heart attack, atrial fibrillation moderately higher
The pooled prevalence of preventable patient harm is 6 percent across a range of medical settings globally

About One in 20 Patients Exposed to Preventable Harm

Pooled prevalence of preventable patient harm was 6 percent; 12 percent was severe, led to death
Medical marijuana laws do not appear to impact nonmedical prescription opioid use or opioid use disorder

Medical Marijuana Laws May Not Impact Opioid Use

No reduction seen in individual-level nonmedical prescription opioid use from 2002 to 2014
Breaches of recommended infection prevention practices have been identified in an outbreak of septic arthritis cases after intra-articular injections performed in a private outpatient facility

Safety Practice Violations ID’d in Septic Arthritis Outbreak

Multiple breaches included inadequate hygiene, unsafe injection practices, poor cleaning, disinfection
For children presenting to the emergency department with a mental health disorder

Transfers Up for Mental Health Disorders in Uninsured Children

Odds of transfer relative to admission higher for children without insurance versus with insurance
Intranasal sufentanil is comparable to intravenous morphine for acute severe trauma pain treated in the emergency department

Intranasal Sufentanil Cuts Acute Trauma Pain Treated in the ED

Larger studies needed to further assess safety of intranasal sufentanil
Subclinical cardiovascular disease appears to be an independent risk factor for falls in older adults

Subclinical Cardiovascular Dz May Up Fall Risk in Older Adults

Higher measures of subclinical myocardial damage, cardiac wall strain linked to new falls