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January 2018 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 January 2018. This roundup includes the...
The number of users who exceed the daily limit of nonsteroidal anti-inflammatory drugs is "nontrivial

NSAID Users Commonly Exceed Daily Limit

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Educating consumers about dosing directions could improve dosing compliance
Due to shared risk factors and impact on heart health from cancer treatment

AHA: Breast Cancer Patients at Increased Risk for CV Disease

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Beyond overlapping risk factors, breast cancer treatments can have negative effect on CV health
Glucagon is being underutilized in the prehospital and outpatient setting

Glucagon Underutilized in Prehospital, Emergency Settings

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Diabetic problem often incorrectly coded by dispatch; paramedic access to give glucagon also an issue
Americans under age 65 years who were insured through their employer spent more than ever before on health care in 2016

Health Care Spending Up, Mainly Due to Rising Prices

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Spending increasing despite no change or decline in utilization of most health care services
Pharmacist feedback and education is effective at reducing prescription writing errors by junior doctors in an inpatient setting

Pharmacist Education May Cut Junior Doctor Prescription Errors

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Regular and targeted feedback by pharmacists reduces Rx errors; effect of e-learning tools unclear
Smoking one cigarette per day is still associated with a significant increased risk of coronary heart disease and stroke

Heart Disease, Stroke Risk Up Even Smoking 1 Cigarette/Day

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Men who smoked just one cigarette/day had 46 percent of excess relative risk of smoking 20/day
Patients with musculoskeletal conditions who are using prescribed opioids are more likely to be highly satisfied with their care

Prescribing of Opioids Adds to Patient Satisfaction With Care

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Findings strongest with higher opioid use among patients with musculoskeletal conditions
Survival after in-hospital cardiac arrest (IHCA) that occurs during off-hours remains lower versus on-hours IHCA

In-Hospital Cardiac Arrest Survival Differs With Time of Day

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Survival lower for in-hospital cardiac arrest that happens overnight and/or on weekends
Spontaneous subarachnoid hemorrhage is increasing among pregnant women

ASA: Spontaneous Subarachnoid Hemorrhage Rising in Pregnancy

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Proportion of sSAH higher for African-American and Hispanic women, and for those aged 20 to 29 years