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June 2019 Briefing – Emergency Medicine

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Here are what the editors at HealthDay consider to be the most important developments in Emergency Medicine for June 2019. This roundup includes the...
Antibiotic stewardship interventions for acute respiratory infection can significantly reduce overuse in emergency departments and urgent care centers

Stewardship Intervention Can Cut Inappropriate Rx by a Third

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Findings observed for acute respiratory infection in emergency departments and urgent care centers
For patients presenting to the emergency department with symptoms suggestive of myocardial infarction

High-Sensitivity Troponin Levels Can Predict MI Risk

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Risk-assessment tool uses troponin concentration at ED arrival, dynamic change during serial sampling
Different infection types

Infections Tied to Subsequent Risk for Acute Ischemic Stroke

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Correlation highest for UTI; smaller-magnitude associations seen for UTI with intracerebral hemorrhage
Among patients with suspected urolithiasis presenting to the emergency department

CT Use to Evaluate Suspected Urolithiasis Significantly Increased

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2006 to 2014 saw more than doubling in the use of CTAP in the ED, with considerable geographic variation
Nearly three-quarters of Americans are concerned about burnout among their clinicians

Americans Concerned About Clinician Burnout

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Most survey respondents believe burnout is tied to lower quality of care
After adjustment for the nonrandom exit of clinicians

MSSP ACOs May Not Improve Spending, Quality of Care

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After adjustment for clinicians' nonrandom exit, no link seen with improvements in spending, quality
Smoking confers a greater increase in ST-segment elevation myocardial infarction risk to women than men

Smoking Confers Greatest Risk for Major Heart Attack for Women

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Relative risk between men and women highest at ages 50 to 64, but highest increase seen at ages 18 to 49
The U.S. Food and Drug Administration on Tuesday took two kratom marketers to task over false claims that their products can treat or cure opioid addiction.

FDA Warns Two Kratom Marketers About False Claims

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Warning letters sent to companies illegally selling unapproved, misbranded kratom-containing drug products
There is no increased risk for mortality among patients receiving red blood cell transfusions from female

Mortality Not Higher With Transfusions From Female Donors

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Findings seen for red blood cells from female, previously pregnant, or sex-discordant donors