Here are what the editors at HealthDay consider to be the most important developments in Emergency Medicine for December 2016. 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.
Survey Shows Lower Rate of Impaired Driving in U.S. for 2014
THURSDAY, Dec. 29, 2016 (HealthDay News) — The prevalence of driving under the influence of alcohol and illicit drugs has been quantified in a report published Dec. 28 by the Substance Abuse and Mental Health Services Administration.
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Personal Health Care Spending Continues to Soar in the U.S.
TUESDAY, Dec. 27, 2016 (HealthDay News) — From 1996 to 2013 there were considerable increases in personal health care spending in the United States, with the highest amounts for diabetes, ischemic heart disease, and low back and neck pain, according to a study published in the Dec. 27 issue of the Journal of the American Medical Association.
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Unrecognized Heart Attacks Tied to Higher Pain Tolerance
TUESDAY, Dec. 27, 2016 (HealthDay News) — Patients who experience unrecognized myocardial infarction (MI) have reduced pain sensitivity compared to those who experience recognized MI, according to a study published online Dec. 21 in the Journal of the American Heart Association.
Police Referral Without Arrest Lets Opioid Abusers Seek Help
TUESDAY, Dec. 27, 2016 (HealthDay News) — A direct referral program and use of an interim buprenorphine regimen can be beneficial for encouraging individuals with an opioid-use disorder to seek help, and for reducing drug-related risks, according to two research letters published online Dec. 21 in the New England Journal of Medicine.
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Heart-Related Deaths Up at Xmas Even in Southern Hemisphere
FRIDAY, Dec. 23, 2016 (HealthDay News) — The Christmas holiday effect, showing elevated cardiovascular mortality over the Christmas holiday period, also occurs in the Southern Hemisphere, according to a study published online Dec. 22 in the Journal of the American Heart Association.
Surcharge May Accompany After-Hours Care in Emergency Room
THURSDAY, Dec. 22, 2016 (HealthDay News) — Patients often find an additional charge added to their bill for overnight visits to the emergency department, and use of these charges may be increasing, according to a report published by Kaiser Health News.
Risk of Postconcussive Symptoms Down With Early Exercise
TUESDAY, Dec. 20, 2016 (HealthDay News) — Participation in physical activity within seven days after injury is associated with reduced rates of persistent postconcussive symptoms (PPCS), according to a study published in the Dec. 20 issue of the Journal of the American Medical Association.
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CDC: Fatal Drug Overdoses Up Significantly in the United States
TUESDAY, Dec. 20, 2016 (HealthDay News) — Drug overdose deaths increased 23 percent between 2010 and 2014, with 47,055 Americans dying in 2014, according to findings published in the Dec. 20 issue of the U.S. Centers for Disease Control and Prevention’s National Vital Statistics Reports.
Insurance Status of ER Visits Varied With Medicaid Expansion
TUESDAY, Dec. 20, 2016 (HealthDay News) — In the first year of Medicaid expansion there were changes in the insurance status and location of emergency department visits, according to a study published online Dec. 20 in the Annals of Internal Medicine.
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Health Care Provider Burnout Negatively Affects Quality, Safety
TUESDAY, Dec. 20, 2016 (HealthDay News) — Health care provider burnout is negatively associated with quality and safety of health care, according to a meta-analysis published recently in the Journal of General Internal Medicine.
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No Link for Transfused Red Blood Cell Storage, Mortality
MONDAY, Dec. 19, 2016 (HealthDay News) — For patients who received transfusions in Sweden and Denmark from 2003 to 2012, there was no correlation between the length of red blood cell (RBC) storage and mortality, according to a study published online Dec. 20 in the Annals of Internal Medicine.
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DEA Announces Critical Changes in Registration Renewal Process
MONDAY, Dec. 19, 2016 (HealthDay News) — The Drug Enforcement Administration (DEA) has announced critical changes in its registration renewal process, according to a report published by the American Academy of Family Physicians.
Opioid-Related Hospitalizations Up Sharply in the United States
FRIDAY, Dec. 16, 2016 (HealthDay News) — Hospital admissions related to overdoses from heroin and other opioids rose 64 percent in the United States between 2005 and 2014, according to a report from the U.S. Agency for Healthcare Research and Quality (AHRQ).
‘Zombie’ Outbreak in NYC Caused by Synthetic Cannabinoid
THURSDAY, Dec. 15, 2016 (HealthDay News) — Synthetic cannabis that triggered a “zombie” outbreak in a New York City neighborhood last summer was significantly more potent than real cannabis, according to a study published online Dec. 14 in the New England Journal of Medicine.
Under-Reporting of Child Abuse Suspected Within U.S. Army
WEDNESDAY, Dec. 14, 2016 (HealthDay News) — Child abuse within U.S. Army families may be significantly under-reported, according to a study published online Dec. 12 in Child Abuse & Neglect.
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Drones Deemed Safe for Blood Transportation
MONDAY, Dec. 12, 2016 (HealthDay News) — Blood products don’t seem to suffer damage when transported by drones, according to a study published online Nov. 11 in Transfusion.
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Anesthesiologist Reaction Time Increased After Night Call
MONDAY, Dec. 12, 2016 (HealthDay News) — For anesthesiologists, reaction time increases after a night call, with greater increases seen in correlation with reliance on avoidance as a coping mechanism, according to a study published online Nov. 30 in Pediatric Anesthesia.
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Recommendations Developed for Sport-Related Dental Injuries
FRIDAY, Dec. 9, 2016 (HealthDay News) — In a position statement published online Dec. 5 in the Journal of Athletic Training, recommendations relating to planning considerations, education, and mouthguard efficacy are presented for athletic trainers and health care professionals for preventing and managing sport-related dental and oral injuries.
Suicide Risk Up for Patients With Acute Coronary Syndrome
THURSDAY, Dec. 8, 2016 (HealthDay News) — Patients with acute coronary syndrome (ACS) may face a higher-than-normal risk of suicide, according to a study published online Dec. 7 in the Journal of the American Heart Association.
Naloxone Price Hikes Could Affect Rates of Opioid-Related Deaths
THURSDAY, Dec. 8, 2016 (HealthDay News) — Escalating prices of the drug naloxone may threaten efforts to reduce opioid-related deaths across America, according to a perspective piece published in the Dec. 8 issue of the New England Journal of Medicine.
Timely Epinephrine Increases Cardiac Arrest Survival
THURSDAY, Dec. 8, 2016 (HealthDay News) — Cardiac arrest patients who receive epinephrine within five minutes are more likely to survive than those who don’t receive the drug within that time frame, according to findings published online Dec. 1 in Circulation.
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Titanium Exposure Tied to Yellow Nail Syndrome in Pediatric Patient
THURSDAY, Dec. 8, 2016 (HealthDay News) — In a case report published online Dec. 7 in Pediatrics, yellow nail syndrome (YNS) is described in a 9-year-old girl who had titanium detected in her nail clippings.
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Fewer School Shootings in States With Tighter Gun Laws
WEDNESDAY, Dec. 7, 2016 (HealthDay News) — There are fewer school shootings in states that have tighter gun control laws and spend more on mental health care and public education, according to a report published online Dec. 6 in Injury Prevention.
Readings Taken in Clinic May Underestimate Ambulatory BP
WEDNESDAY, Dec. 7, 2016 (HealthDay News) — Ambulatory blood pressure may be a better indicator of health risks than clinic blood pressure, according to a new report published online Dec. 6 in Circulation.
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Prevalence of Disability 2.7 Percent at U.S. Medical Schools
WEDNESDAY, Dec. 7, 2016 (HealthDay News) — The prevalence of disability is 2.7 percent among medical students at U.S. allopathic medical schools, according to a research letter published in the Dec. 6 issue of the Journal of the American Medical Association, a theme issue of medical education.
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Learning Interventions Can Improve Med Student Well-Being
WEDNESDAY, Dec. 7, 2016 (HealthDay News) — Specific learning interventions may improve emotional well-being among medical students, according to a review published in the Dec. 6 issue of the Journal of the American Medical Association, a theme issue on medical education.
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Depression, Suicide Ideation Prevalent in Medical Students
TUESDAY, Dec. 6, 2016 (HealthDay News) — The prevalences of depression or depressive symptoms and suicide ideation are 27.2 and 11.1 percent, respectively, among medical students, according to a review published in the Dec. 6 issue of the Journal of the American Medical Association, a theme issue on medical education.
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Clinical Practice Guidelines Cut Pediatric Hospitalizations for DKA
TUESDAY, Dec. 6, 2016 (HealthDay News) — Implementation of clinical practice guidelines can reduce the length of hospitalizations among children experiencing diabetic ketoacidosis (DKA), according to a study published Nov. 29 in the Journal of Evaluation in Clinical Practice.
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Many With Postconcussion Syndrome Don’t Recover
MONDAY, Dec. 5, 2016 (HealthDay News) — A minority of patients with postconcussion syndrome (PCS) recover, with two-thirds of those who recover doing so within one year, according to a study published online Nov. 29 in the Journal of Neurotrauma.
Attempted Suicide Rates, Risk Groups Mostly Unchanged
MONDAY, Dec. 5, 2016 (HealthDay News) — The number of Americans who attempted suicide and ended up in the emergency department has remained steady in the past decade, according to research published online Nov. 17 in Epidemiology and Psychiatric Sciences.
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Acute, Noncardiac Mortality Risk Up for CA Patients With STEMI
FRIDAY, Dec. 2, 2016 (HealthDay News) — Cancer survivors with ST-segment elevation myocardial infarction (STEMI) have increased acute in-hospital and long-term noncardiac mortality risk but no increased acute or long-term cardiac mortality risk with guideline-recommended cardiac care, according to a study published in the December issue of the Mayo Clinic Proceedings.
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CDC: Fewer U.S. Families Struggling to Pay Medical Bills
THURSDAY, Dec. 1, 2016 (HealthDay News) — The number of people in families having problems paying medical bills fell by nearly 13 million from 2011 through the first six months of 2016, according to a report published by the U.S. Centers for Disease Control and Prevention’s National Center for Health Statistics (NCHS).
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