Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
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To describe the epidemiology of traumatic brain injury (TBI) among children in Maryland and to examine factors that influence hospital admission. ⋯ After adjusting for TBI severity and the presence of associated injuries, significant differences in hospitalization rates may exist among different patient subgroups and hospitals for children who sustain TBIs.
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Multicenter Study
Injury mortality following the loss of air medical support for rural interhospital transport.
This study evaluated variation in mortality among interfacility transfers three years before and after discontinuation of a rotor-wing transport service. ⋯ Injury mortality increased with loss of air transport for interfacility transfer in a rural area.
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Smoking remains the leading preventable cause of morbidity and mortality in the United States. The efficacy of emergency department (ED)-based patient screening and counseling for smoking cessation is not currently known. ⋯ Strong evidence exists, in the primary care setting, that smoking cessation screening and counseling are effective. Limited data exist for ED-based practice, but, based on the burden of disease, relative ease of intervention, and likely efficacy, routine screening of all patients for tobacco use and referral of smokers to primary care and cessation programs are recommended.