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September 2019 Briefing – Emergency Medicine

Here are what the editors at HealthDay consider to be the most important developments in Emergency Medicine for September 2019. This roundup includes the...
HIV testing in South African emergency departments shows a high prevalence and incidence of HIV

Emergency Departments Need to Up HIV Testing, Linkage to Care

Just under half of HIV-positive patients in South African emergency departments virally suppressed
About 11 percent of cancers are diagnosed following an emergency department visit

11 Percent of Cancers Detected Via Emergency Department Visit

Patients with ED-mediated diagnoses more likely to be unmarried, Hispanic or black, in lowest income quartile
Having a pharmacist in the emergency department significantly shortens the time to administration of treatment to reverse anticoagulation in patients with life-threatening bleeds or the need for urgent procedures

Pharmacist in ED Cuts Time to Tx to Reverse Anticoagulation

Time to 4F-PCC shorter for patients who have life-threatening bleeding, need urgent procedures
Opioid use at three months after an emergency department visit where opioids were prescribed for acute pain is relatively low and not necessarily tied to opioid misuse

Continued Use Low Three Months After ED Opioid Rx for Acute Pain

Few report using opioids for reason other than pain three months after receiving opioid Rx
High-occupancy hospitals may be sensitive to openings and closures in neighboring emergency departments

ED Openings, Closures May Affect Tx, Outcomes for Acute MI

ED closures can negatively affect heart attack care at bystander hospitals at near or full capacity
Optimized placement of automated external defibrillators (AEDs) could increase out-of-hospital cardiac arrest coverage over real AED placements

Optimized AED Placement Might Improve Cardiac Arrest Outcomes

Better access to automated external defibrillators could up coverage for out-of-hospital cardiac arrest
U.S. veterans could receive billions of dollars in denied claims for out-of-pocket emergency care costs at non-VA facilities after a federal court ruled that the Department of Veterans Affairs improperly denied the claims.

VA May Have to Pay Billions for Veterans’ Emergency Care Claims

Law says VA must pay emergency medical expenses if they are not covered by private insurance
The incidence of mild cognitive impairment is increased in World Trade Center responders

Mild Cognitive Impairment Incidence Higher for WTC Responders

Incidence increased with PTSD severity; prolonged exposure a risk factor for apolipoprotein-ε4 carriers
There is racial/ethnic variation in the emergency department destination for patients using emergency medical services transport

Racial/Ethnic Variation Found in ED Destination of EMS Transport

Black, Hispanic patients more likely than white patients to be transported to safety-net hospital ED