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November 2019 Briefing – Emergency Medicine

Here are what the editors at HealthDay consider to be the most important developments in Emergency Medicine for November 2019. 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.

Three Meds Equal as Second-Line Therapy for Status Epilepticus

WEDNESDAY, Nov. 27, 2019 (HealthDay News) — Levetiracetam, fosphenytoin, and valproate are equally effective in children and adults for the treatment of benzodiazepine-refractory convulsive status epilepticus, according to a study published in the Nov. 28 issue of the New England Journal of Medicine.

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Object-Related Aspiration Deaths Decreased Among Children

WEDNESDAY, Nov. 27, 2019 (HealthDay News) — From 1968 to 2017, there was a decrease in object-related aspiration deaths in children and adolescents, according to a research letter published in the Nov. 26 issue of the Journal of the American Medical Association.

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Exposure to Psychoactive Substances Up From 2000 to 2017

WEDNESDAY, Nov. 27, 2019 (HealthDay News) — From 2000 to 2017, the overall rate of exposure to psychoactive substances of natural origin increased, according to a study published online Nov. 25 in Clinical Toxicology.

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Death Toll in Samoa Measles Epidemic Reaches 25

TUESDAY, Nov. 26, 2019 (HealthDay News) — The death toll in a measles epidemic sweeping Samoa has reached 25, and all but one of the victims have been young children, an official said Monday.

AP News Article

U.S. Life Expectancy Dropped Since 2014 for Working-Age Adults

TUESDAY, Nov. 26, 2019 (HealthDay News) — U.S. life expectancy increased from 1959 to 2016 but has been decreasing since 2014, according to research published in the Nov. 26 issue of the Journal of the American Medical Association.

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Poll: Adults Who Vape Often Buy From Unauthorized Sellers

MONDAY, Nov. 25, 2019 (HealthDay News) — Nearly one in 10 Americans who vape purchase their products from an unauthorized seller, according to the results of a survey released Nov. 18 by the American Osteopathic Association.

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Overall Rate of Pediatric Nonpowder Firearm Injuries Down

MONDAY, Nov. 25, 2019 (HealthDay News) — From 1990 to 2016, there was a decrease in nonpowder firearm injuries treated in emergency departments among children but an increase in the rate of eye injuries, according to a study published online Nov. 25 in Pediatrics.

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CDC: Nearly Half of TBI-Related Deaths Categorized as Intentional

FRIDAY, Nov. 22, 2019 (HealthDay News) — From 2015 to 2017, 44 percent of traumatic brain injury (TBI)-related deaths were categorized as intentional injuries, according to research published in the Nov. 22 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Employee Premiums, Deductibles Eating Larger Share of Income

THURSDAY, Nov. 21, 2019 (HealthDay News) — During the last decade, health care costs have eaten up a larger share of income for millions of middle-class Americans with employer coverage, according to Trends in Employer Health Care Coverage, 2008-2018, a Nov. 21 report from The Commonwealth Fund.

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Radiation From CT Scans Linked to Thyroid Cancer, Leukemia

THURSDAY, Nov. 21, 2019 (HealthDay News) — Exposure to medical radiation from computed tomography (CT) scans is associated with an increased risk for thyroid cancer and leukemia, according to a study published online Nov. 19 in JNCI Cancer Spectrum.

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Most Infants Susceptible to Measles by 3 Months of Age

THURSDAY, Nov. 21, 2019 (HealthDay News) — In an elimination setting, most infants are susceptible to measles by age 3 months, according to a study published online Nov. 21 in Pediatrics.

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Negative Impact Persists for Survivors of Firearm Injury

THURSDAY, Nov. 21, 2019 (HealthDay News) — Firearm injury seems to have a lasting effect, with survivors of gunshot wounds (GSW) having negative outcomes for years, according to a study published online Nov. 20 in JAMA Surgery.

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CDC Updates Interim Guidance on Vaping-Linked Lung Illness

WEDNESDAY, Nov. 20, 2019 (HealthDay News) — In an article published in the Nov. 19 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report, interim guidance is provided for health care professionals managing patients with suspected electronic cigarette, or vaping, product use-associated lung injury (EVALI). Another report in the same issue suggests that the characteristics of hospitalized and nonhospitalized EVALI patients are similar.

Abstract/Full Text – Jatlaoui

Abstract/Full Text – Chatham-Stephens

~25 Percent of Adolescents, Young Adults Use Rx Opioids

WEDNESDAY, Nov. 20, 2019 (HealthDay News) — Prescription opioid use among teens and young adults is higher than expected, with most obtaining the drugs from friends and family, according to a study published online Nov. 5 in PLOS Medicine.

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AAP: Emergency Contraception Should be Given to Sexually Active Teens

TUESDAY, Nov. 19, 2019 (HealthDay News) — Pediatricians should provide emergency contraception (EC) to teenagers who have had unprotected or underprotected intercourse, according to a policy statement from the American Academy of Pediatrics published online Nov. 18 in Pediatrics.

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Optic Nerve Ultrasound May ID Increased Intracranial Pressure

TUESDAY, Nov. 19, 2019 (HealthDay News) — Optic nerve ultrasonography can help diagnose increased intracranial pressure with high specificity and sensitivity for patients with traumatic and nontraumatic brain injury, according to a review published online Nov. 19 in Annals of Internal Medicine.

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White House Wants Hospitals, Insurers to Provide Actual Costs of Care

MONDAY, Nov. 18, 2019 (HealthDay News) — New rules requiring hospitals and insurers to disclose the actual prices for common tests and procedures before they are performed have been proposed by the Trump Administration.

AP News Article

CDC: Number of Vaping-Linked Lung Illnesses Up to 2,172

FRIDAY, Nov. 15, 2019 (HealthDay News) — The number of Americans stricken with a severe respiratory illness tied to vaping has now reached 2,172, the U.S. Centers for Disease Control and Prevention reported Thursday. That is a rise from the 2,051 case total from a week ago.

More Information: CDC

CNN Article

About 2.7 Million ED Visits Reported for Sports Injuries in 2010 to 2016

FRIDAY, Nov. 15, 2019 (HealthDay News) — About 2.7 million emergency department visits for sports injuries occurred during 2010 to 2016, according to a study published online Nov. 15 in the National Health Statistics Reports, a publication of the U.S. Centers for Disease Control and Prevention.

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12 Cases of Vaping-Related Lung Injury Described in One Hospital

FRIDAY, Nov. 15, 2019 (HealthDay News) — Twelve cases of electronic cigarette, or vaping, product use-associated lung injury (EVALI) from a single institution have been described in a case series published online Nov. 8 in The Lancet Respiratory Medicine.

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Survey of U.S. Registered Nurses Points to Worsening Shortages

THURSDAY, Nov. 14, 2019 (HealthDay News) — The 2019 AMN Healthcare Survey of Registered Nurses raises concerns about the outlook for the nursing profession in the United States.

2019 Survey of Registered Nurses

Imaging Rates Continue to Rise Despite Efforts to Reduce

WEDNESDAY, Nov. 13, 2019 (HealthDay News) — Despite initiatives to reduce the use of medical imaging, rates continue to rise in both the United States and Ontario, Canada, according to a study recently published in the Journal of the American Medical Association.

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CDC: Number of Vaping-Linked Lung Illnesses Tops 2,000

THURSDAY, Nov. 7, 2019 (HealthDay News) — The number of Americans stricken with a severe respiratory illness tied to vaping has now reached 2,051, the U.S. Centers for Disease Control and Prevention reported Thursday.

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Risk for Suicide Increased After Hospital Discharge for Self-Harm

THURSDAY, Nov. 7, 2019 (HealthDay News) — Risk for suicide following hospital presentation for self-harm is very high immediately following hospital discharge, according to a study published Nov. 6 in The Lancet Psychiatry.

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2009 to 2016 Saw Drop in 30-Day Mortality Tied to Emergency Care

THURSDAY, Nov. 7, 2019 (HealthDay News) — From 2009 to 2016, there was a decrease in 30-day mortality associated with emergency department care for Medicare beneficiaries, according to a study published online Nov. 4 in JAMA Internal Medicine.

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Focus on ED Utilization Misses Whole-Person Perspective

WEDNESDAY, Nov. 6, 2019 (HealthDay News) — There is a need for shared patient-level data across medical, behavioral, and social care systems to meet the medical needs of frequent emergency department users, according to a study published in the November issue of Health Affairs.

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2010 to 2016 Saw Increase in Teens Admitted to ED for Abuse

TUESDAY, Nov. 5, 2019 (HealthDay News) — From 2010 to 2016, there was an increase in the number of adolescents admitted to emergency departments for confirmed sexual abuse, according to a research letter published online Nov. 4 in JAMA Pediatrics.

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FDA: Biotin Supplements Could Affect Results of Medical Tests

TUESDAY, Nov. 5, 2019 (HealthDay News) — Biotin supplements can interfere with the results of some critical lab tests, the U.S. Food and Drug Administration warned Tuesday.

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Seriously Ill Medicare Beneficiaries Face Financial Hardship

MONDAY, Nov. 4, 2019 (HealthDay News) — Seriously ill Medicare enrollees experience considerable financial distress, according to a report published in the November issue of Health Affairs.

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Dr. Stephen Hahn Nominated to Head FDA

MONDAY, Nov. 4, 2019 (HealthDay News) — Radiation oncology expert Stephen Hahn, M.D., has been nominated as the new U.S. Food and Drug Administration commissioner.

CNN Article

CDC: 1 Dead, 8 Hospitalized in Salmonella Outbreak Tied to Ground Beef

MONDAY, Nov. 4, 2019 (HealthDay News) — Ground beef tainted with Salmonella has led to 10 known infections across six states, including eight people who were hospitalized, and one death.

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Risk for Death, Suicide Up in Teens Who Visit ED for Self-Harm

MONDAY, Nov. 4, 2019 (HealthDay News) — Adolescents with emergency department visits for self-harm have increased rates of recurrent self-harm, mortality, and suicide, according to a study published online Nov. 4 in CMAJ, the journal of the Canadian Medical Association.

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One in Three Young Adults Get Meds for Opioid Use Disorder After Overdose

MONDAY, Nov. 4, 2019 (HealthDay News) — One in three young adults receive medication for opioid use disorder in the 12 months after surviving an overdose, according to a study published online Oct. 4 in the Annals of Emergency Medicine.

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Recommendations Developed to Address Clinician Burnout

FRIDAY, Nov. 1, 2019 (HealthDay News) — In Taking Action Against Clinician Burnout, a new report published online Oct. 23 by the National Academies of Sciences, Engineering, and Medicine, recommendations are presented to address clinician burnout.

Taking Action Against Clinician Burnout

Increase Seen in Opioid-, Synthetic Opioid-Involved OD Deaths

FRIDAY, Nov. 1, 2019 (HealthDay News) — From 2015 to 2017, there were increases in opioid-involved and synthetic opioid-involved overdose drug rates in nearly all racial/ethnic groups, according to research published in the Nov. 1 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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