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Emergency Medicine

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Emergency department visits for injuries related to strollers

Nursery Items Contribute to Increased Infant Injury Rates

Much of the increase in injuries was related to concussions
Medicare patients treated by higher-spending physicians are just as likely to be re-admitted or die within 30 days of being admitted to the hospital as patients treated by doctors who order fewer or less-expensive tests and treatments

Higher Spending by Physicians Not Tied to Better Outcomes

No difference in patient outcomes when physicians order more -- or more pricey -- tests, treatments
Acute-onset

Chorioretinal Lesions Secondary to Zika Virus Observed

Acute-onset, self-resolving, placoid, or multifocal non-necrotizing chorioretinal lesions reported
Adolescents who use synthetic cannabinoids are at a heightened risk for violent behavior

Synthetic Cannabinoids Tied to High-Risk Behavior in Adolescents

Products have unpredictable, potentially dangerous effects compared to marijuana
A quality improvement project can increase jet injection of lidocaine use with intravenous placements in the emergency department

QI Project Ups Jet Injection of Lidocaine in IV Placements

Over seven months, increase in JIL use with IV placement to 54 percent in emergency department
Zika may have detrimental effects on the heart in some patients infected with the virus

ACC: Zika Linked to Negative Cardiovascular Effects in Adults

Eight Venezuelan patients developed arrhythmias, heart failure after infection
For children with community-acquired pneumonia

Nonclinical Factors Drive Antibiotic Choice in Pediatric CAP

Age, previous antibiotic receipt, private insurance up odds of macrolide versus amoxicillin receipt
People living in states that expanded Medicaid under the Affordable Care Act are less likely to be uninsured or struggling with the strain of unpaid medical bills

ACA’s Medicaid Expansion May Pose Challenges to Timely Care

Research shows benefit, but also more problems with patients getting appointments
Winter is a particularly precarious time for heart failure patients

ACC: Hospitalizations Up for Heart Failure Patients in Winter

Researchers find hospitalizations, deaths among these patients highest during winter months
Implementation of the American Academy of Pediatrics guidelines of watchful waiting for acute otitis media is cost-effective

Watchful Waiting Cost-Effective for Pediatric Acute Otitis Media

For every 1,000 patients with AOM, WW would result in 205 fewer antibiotic prescriptions used