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February 2017 Briefing – Emergency Medicine

Here are what the editors at HealthDay consider to be the most important developments in Emergency Medicine for February 2017. This roundup includes the...
There is doubt as to whether diazepam provides benefit in the treatment of low back pain in the emergency department environment

Diazepam Not Beneficial for Acute Low Back Pain in ER

No better than placebo when added to naproxen, research suggests
Patients transported in an ambulance specially equipped to diagnose and treat stroke on route to the hospital have a lower risk of stroke-related disability than patients who receive tissue plasminogen activator at the hospital

ASA: Pre-Hospital tPA May Reduce Stroke Disability

Findings for patients given tPA in a mobile stroke unit
Drug overdose deaths have nearly tripled in the United States since 1999

CDC: Fatal Drug Overdoses More Than Doubled Since 1999

Whites, middle-aged adults hardest hit, researchers find
Male stroke patients are more than twice as likely as female patients to receive tissue plasminogen activator treatment within 30 minutes of hospital arrival

ASA: Male Stroke Patients Twice As Likely to Get Timely tPA

Researchers not sure why the disparity exists
Blacks

ASA: Not Enough Stroke Patients Being Treated With tPA

Minorities, women, seniors on Medicare, rural residents less likely to be diagnosed in time for tPA
Patients addicted to opioids treated in a hospital emergency department do better when they receive medication to reduce opioid cravings

Patients With Opioid Addiction Benefit From Tx Initiated in ER

Giving drugs to reduce cravings appears to be effective option, researchers find
Nearly one-quarter of enrollees in a U.S. managed care network who visit the emergency department for an ocular condition have a nonurgent condition

One in Four Ocular ER Visits for Nonurgent Conditions

Risk of visiting ER for nonurgent ocular conditions down for those with established eye care provider
Emergency department patients are at greater risk for long-term opioid use even after a single prescription from an emergency medicine physician who regularly prescribes them

Doctors’ Opioid Rx Patterns Tied to Patient Risk for Long-Term Use

Patients 30 percent more likely to abuse opioids if their ER physician prescribes them frequently
Health officials in Utah and Louisiana have issued orders to make naloxone more widely available in an effort to prevent overdose deaths

Access to Naloxone Eased in Louisiana, Utah

Standing orders for naloxone allow it to be dispensed to laypeople without patient-specific prescription