The American journal of emergency medicine
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The novel coronavirus disease of 2019 (COVID-19) is associated with significant morbidity and mortality. While much of the focus has been on the cardiac and pulmonary complications, there are several important dermatologic components that clinicians must be aware of. ⋯ It is important to be aware of the dermatologic manifestations and complications of COVID-19. Knowledge of the components is important to help identify potential COVID-19 patients and properly treat complications.
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Multicenter Study Observational Study
Effect of previous emergency psychiatric consultation on suicide re-attempts - A multi-center observational study.
The emergency department (ED) is one of the first gateways when suicide attempt patients seek health care services. The purpose of this study was to analyze the hypothesis that people who received emergency psychiatric services in previous suicide attempts will have a lower mortality rate in current ED visits owing to subsequent suicide attempts. ⋯ Patients who received psychiatric consultation in previous suicide attempts had a lower suicide-related mortality in current ED visits as compared to patients who did not, and this may have been related to choosing non-fatal suicide methods.
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Following the emergence of the COVID-19 pandemic, normal daily life in the United States (US) has changed dramatically. As the US population shifts to practice social distancing, there are undoubtedly changes in the pattern of traumatic injuries presenting to Emergency Departments across the US. This analysis aims to analyze previously undocumented trends on how the COVID-19 pandemic has changed the pattern of vehicle related injuries in selected US states. ⋯ Incidence of vehicle collisions and vehicle related injuries have significantly decreased during the COVID-19 pandemic. The creation of improved public transport modalities and use of virtual/remote replacements for social activities could serve as long-term solutions to reduce vehicle collisions and vehicle related injuries.
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Geriatric Emergency Medicine is an important frontier for study and innovation by emergency practitioners. The rapid growth of this patient population combined with complex medical and social needs has prompted research ranging from which tests and screening tools are most effective for geriatric evaluation to how we can safely manage pain in the elderly or address goals of care in the Emergency Department. This review summarizes emergency medicine articles focused on the older patient population published in 2019, which the authors consider critical to the practice of geriatric emergency medicine.
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Comparative Study
Effect of opioid analgesics on emergency department length of stay among low back pain patients in the United States.
The objective of this study was to compare emergency department (ED) length of stay (LOS) between patients treated with opioid analgesia versus non-opioid analgesia for low back pain (LBP) in the ED. ⋯ In a nationally representative sample of patient visits to ED due to LBP in the US, use of opioids in the ED was associated with an increased ED LOS.