How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

10,251 results for

E/M Medical Decision Making

by
...
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

8841. Emergency Neuroradiology (Overview)

Residency Director, Section of Emergency Medicine, Ben Taub General Hospital; Assistant Professor, Director of Simulation Program, Office of Undergraduate Medical Education, Baylor College of Medicine M Tyson Pillow, MD, MEd is a member of the following medical societies: , , , , , , Disclosure: Nothing to disclose. Coauthor(s) Robert A Mulliken, MD Medical Director, Adult Emergency Department, University of Chicago and the University of Chicago Hospitals Robert A Mulliken, MD is a member (...) and neuroimaging is standard of care for all patients with suspected strokes and guides the decision to administer thrombolytics, intra-arterial intervention, or medical management. Also see and . Next: Clinical Presentation History See the list below: Age, comorbidities Head trauma Motor vehicle collision Fall/jump from height Assault Penetrating injury Loss of consciousness Headache Changes in vision Changes in strength or sensation Coordination or balance problems Loss of executive function or cognition

2014 eMedicine Emergency Medicine

8842. Elder Abuse (Treatment)

-in-Chief, Medscape Drug Reference Disclosure: Received salary from Medscape for employment. for: Medscape. Robert Harwood, MD, MPH, FACEP, FAAEM Senior Physcian, Department of Emergency Medicine, Advocate Christ Medical Center; Assistant Professor, Department of Emergency Medicine, University of Illinois at Chicago College of Medicine Robert Harwood, MD, MPH, FACEP, FAAEM is a member of the following medical societies: , , , , , Disclosure: Nothing to disclose. Chief Editor Barry E Brenner, MD, PhD (...) , FACEP Professor of Emergency Medicine, Professor of Internal Medicine, Program Director for Emergency Medicine, Sanz Laniado Medical Center, Netanya, Israel Barry E Brenner, MD, PhD, FACEP is a member of the following medical societies: , , , , , , , , , Disclosure: Nothing to disclose. Additional Contributors Steven A Conrad, MD, PhD Chief, Department of Emergency Medicine; Chief, Multidisciplinary Critical Care Service, Professor, Department of Emergency and Internal Medicine, Louisiana State

2014 eMedicine Emergency Medicine

8843. External Pacemakers (Treatment)

processing > Pacemakers and Implantable Cardioverter-Defibrillators Updated: Feb 13, 2017 Author: Daniel M Beyerbach, MD, PhD; Chief Editor: Jeffrey N Rottman, MD Share Email Print Feedback Close Sections Sections Pacemakers and Implantable Cardioverter-Defibrillators Overview Practice Essentials An implantable cardioverter-defibrillator (ICD) is a specialized device designed to directly treat many dysrhythmias, and it is specifically designed to address ventricular tachyarrhythmias. ICDs have (...) dysfunction (sick sinus syndrome) Symptomatic chronotropic incompetence Symptomatic sinus bradycardia due to necessary drug therapy for other medical conditions, such as atrial fibrillation or coronary artery disease Symptomatic AV block Symptomatic bradycardia due to complete heart block or second-degree AV block or when ventricular arrhythmias are presumed to arise from AV block Symptomatic bradycardia due to complete heart block or second-degree AV block that is due to necessary drug therapy

2014 eMedicine Emergency Medicine

8844. Emergency Neuroradiology (Treatment)

Residency Director, Section of Emergency Medicine, Ben Taub General Hospital; Assistant Professor, Director of Simulation Program, Office of Undergraduate Medical Education, Baylor College of Medicine M Tyson Pillow, MD, MEd is a member of the following medical societies: , , , , , , Disclosure: Nothing to disclose. Coauthor(s) Robert A Mulliken, MD Medical Director, Adult Emergency Department, University of Chicago and the University of Chicago Hospitals Robert A Mulliken, MD is a member (...) and neuroimaging is standard of care for all patients with suspected strokes and guides the decision to administer thrombolytics, intra-arterial intervention, or medical management. Also see and . Next: Clinical Presentation History See the list below: Age, comorbidities Head trauma Motor vehicle collision Fall/jump from height Assault Penetrating injury Loss of consciousness Headache Changes in vision Changes in strength or sensation Coordination or balance problems Loss of executive function or cognition

2014 eMedicine Emergency Medicine

8845. Dissection, Aortic (Treatment)

Author John M Wiesenfarth, MD, FACEP, FAAEM Associate Clinical Professor, Division of Emergency Medicine, University of California, Davis, School of Medicine; Assistant Physician-in-Chief for Quality, Patient Safety, Risk, and Medical/Legal, Service Line:Emergency Medicine, Kaiser-Permanente Hospital of Sacramento/Roseville John M Wiesenfarth, MD, FACEP, FAAEM is a member of the following medical societies: , , Disclosure: Nothing to disclose. Specialty Editor Board Francisco Talavera, PharmD, PhD (...) Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference Disclosure: Received salary from Medscape for employment. for: Medscape. Gary Setnik, MD Chair, Department of Emergency Medicine, Mount Auburn Hospital; Assistant Professor, Department of Emergency Medicine, Harvard Medical School Gary Setnik, MD is a member of the following medical societies: , , Disclosure: Medical Director for: SironaHealth. Chief Editor Barry E Brenner

2014 eMedicine Emergency Medicine

8846. Dislocation, Knee (Treatment)

Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference Disclosure: Received salary from Medscape for employment. for: Medscape. Chief Editor Barry E Brenner, MD, PhD, FACEP Professor of Emergency Medicine, Professor of Internal Medicine, Program Director for Emergency Medicine, Sanz Laniado Medical Center, Netanya, Israel Barry E Brenner, MD, PhD, FACEP is a member of the following medical societies: , , , , , , , , , Disclosure: Nothing to disclose. Additional Contributors James E (...) Keany, MD, FACEP Associate Medical Director, Emergency Services, Mission Hospital Regional Medical Center, Children's Hospital of Orange County at Mission James E Keany, MD, FACEP is a member of the following medical societies: , , Disclosure: Nothing to disclose. Acknowledgements Tom Scaletta, MD President, Smart-ER (http://smart-er.net); Chair, Department of Emergency Medicine, Edward Hospital; Past-President, American Academy of Emergency Medicine Tom Scaletta, MD is a member of the following

2014 eMedicine Emergency Medicine

8847. Dislocation, Ankle (Treatment)

=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvODIzMDg3LXRyZWF0bWVudA== processing > Ankle Dislocation in Emergency Medicine Treatment & Management Updated: Apr 28, 2016 Author: James E Keany, MD, FACEP; Chief Editor: Trevor John Mills, MD, MPH Share Email Print Feedback Close Sections Sections Ankle Dislocation in Emergency Medicine Treatment Prehospital Care Prehospital personnel should immobilize the joint following standard procedure for any extremity injury. If neurovascular compromise is identified in the field by examination, revealing a cold, discolored (...) , and pulseless or insensate foot, the joint should be realigned unless transport time is brief. This is accomplished by in-line traction with countertraction. Traction or splinting should be maintained en route to the hospital (see ). Intravenous opioids should be administered to make the patient comfortable and especially if traction is applied to reduce the dislocation en route. If intravenous opioids are unavailable, intravenous benzodiazepine medications can be used as an alternative. Next: Emergency

2014 eMedicine Emergency Medicine

8848. Diabetes Mellitus, Type 2 (Treatment)

profile. Careful study is needed when making a decision regarding reduced dosing frequency. A rapid-acting inhaled insulin powder (Afrezza) for types 1 and 2 diabetes mellitus was approved by the FDA in June 2014. Approval was based on a study involving over 3,000 patients over a 24-week period. In persons with type 1 diabetes, the inhaled insulin was found to be noninferior to standard injectable insulin when used in conjunction with basal insulin at reducing hemoglobin A1c. In persons with type 2 (...) professionals with expertise in diabetes, working in collaboration with the patient and family. [ ] Management includes the following: Appropriate goal setting Dietary and exercise modifications Medications Appropriate self-monitoring of blood glucose (SMBG) Regular monitoring for complications Laboratory assessment Ideally, blood glucose should be maintained at near-normal levels (preprandial levels of 90-130 mg/dL and hemoglobin A1C [HbA1c] levels < 7%). However, focus on glucose alone does not provide

2014 eMedicine Emergency Medicine

8849. Depression and Suicide (Treatment)

of Emergency Medicine, Professor of Internal Medicine, Program Director for Emergency Medicine, Sanz Laniado Medical Center, Netanya, Israel Barry E Brenner, MD, PhD, FACEP is a member of the following medical societies: , , , , , , , , , Disclosure: Nothing to disclose. Acknowledgements Robert Harwood, MD, MPH, FACEP, FAAEM Program Director, Department of Emergency Medicine, Advocate Christ Medical Center; Assistant Professor, Department of Emergency Medicine, University of Illinois at Chicago College (...) with the public or clients, and had high levels of stress and low levels of physical activity. [ ] The medical profession has the highest risk of death by suicide of any profession or occupation for several reasons (see . In all populations, the existence of depression coupled with knowledge of and access to lethal means dramatically increases the risk for suicide. In addition to medicine, other high control and highly regulated professions such as law enforcement, military, and the legal profession may

2014 eMedicine Emergency Medicine

8850. Domestic Violence (Overview)

department. JAAPA . 2003 May. 16(5):43-4, 47-50, 69. . Rivara FP, Mueller BA, Somes G, et al. Alcohol and illicit drug abuse and the risk of violent death in the home. JAMA . 1997 Aug 20. 278(7):569-75. . Sachs CJ, Peek C, Baraff LJ, et al. Failure of the mandatory domestic violence reporting law to increase medical facility referral to police. Ann Emerg Med . 1998 Apr. 31(4):488-94. . Salber PR, Taliaferro E. Domestic violence. Rosen P, ed. Emergency Medicine Concepts and Clinical Practice . 4th ed (...) , Advocate Christ Medical Center; Assistant Professor, Department of Emergency Medicine, University of Illinois at Chicago College of Medicine Robert Harwood, MD, MPH, FACEP, FAAEM is a member of the following medical societies: , , , , , Disclosure: Nothing to disclose. Chief Editor Barry E Brenner, MD, PhD, FACEP Professor of Emergency Medicine, Professor of Internal Medicine, Program Director for Emergency Medicine, Sanz Laniado Medical Center, Netanya, Israel Barry E Brenner, MD, PhD, FACEP

2014 eMedicine Emergency Medicine

8851. Dissection, Aortic (Overview)

Author John M Wiesenfarth, MD, FACEP, FAAEM Associate Clinical Professor, Division of Emergency Medicine, University of California, Davis, School of Medicine; Assistant Physician-in-Chief for Quality, Patient Safety, Risk, and Medical/Legal, Service Line:Emergency Medicine, Kaiser-Permanente Hospital of Sacramento/Roseville John M Wiesenfarth, MD, FACEP, FAAEM is a member of the following medical societies: , , Disclosure: Nothing to disclose. Specialty Editor Board Francisco Talavera, PharmD, PhD (...) Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference Disclosure: Received salary from Medscape for employment. for: Medscape. Gary Setnik, MD Chair, Department of Emergency Medicine, Mount Auburn Hospital; Assistant Professor, Department of Emergency Medicine, Harvard Medical School Gary Setnik, MD is a member of the following medical societies: , , Disclosure: Medical Director for: SironaHealth. Chief Editor Barry E Brenner

2014 eMedicine Emergency Medicine

8852. Dislocation, Knee (Overview)

, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference Disclosure: Received salary from Medscape for employment. for: Medscape. Chief Editor Barry E Brenner, MD, PhD, FACEP Professor of Emergency Medicine, Professor of Internal Medicine, Program Director for Emergency Medicine, Sanz Laniado Medical Center, Netanya, Israel Barry E Brenner, MD, PhD, FACEP is a member of the following medical societies (...) : , , , , , , , , , Disclosure: Nothing to disclose. Additional Contributors James E Keany, MD, FACEP Associate Medical Director, Emergency Services, Mission Hospital Regional Medical Center, Children's Hospital of Orange County at Mission James E Keany, MD, FACEP is a member of the following medical societies: , , Disclosure: Nothing to disclose. Acknowledgements Tom Scaletta, MD President, Smart-ER (http://smart-er.net); Chair, Department of Emergency Medicine, Edward Hospital; Past-President, American Academy

2014 eMedicine Emergency Medicine

8853. Dysbarism (Overview)

breathes from a compressed air source, the loss of volume from depth is negated. Early diving instruction recommended a rate of ascent no faster than 60 ft (18 m) per minute. The more recent recommendation was to ascend no faster than 30 ft (10 m) per minute and to make a 3-5 minute safety stop at 15-20 ft. [ ] Normally, divers are taught to ascend no faster than a rate of 1 ft per second, with newer recommendations being even slower (one half ft/s or slower). They also are instructed to breathe (...) in recent years, from 2003 and on, in the United States due to a change in federal law that makes medical confidentiality more stringent and thus their abilities to obtain reports and follow-up that much more difficult. They also have sponsored ongoing long-term research including a study entitled Project Dive Exploration (PDE). According to DAN, the overall rate of diving-related injury in 2011 was 3.02 cases per 100 dives, self-reported DCS symptoms was 1.55 cases per 1,000 dives, and treated DCS

2014 eMedicine Emergency Medicine

8854. Dislocation, Ankle (Overview)

in Emergency Medicine Updated: Apr 28, 2016 Author: James E Keany, MD, FACEP; Chief Editor: Trevor John Mills, MD, MPH Share Email Print Feedback Close Sections Sections Ankle Dislocation in Emergency Medicine Overview Background Ankle dislocations without fracture occur when significant force applied to the joint results in loss of opposition of the articular surfaces. Because of the large amount of force required and the inherent stability of the tibiotalar joint, dislocation of the ankle joint is rarely (...) seen without an associated fracture. Certain researchers argue this is due in part to the strength of the ankle joint ligaments and the relative weakness of the bones that make up the ankle. [ ] A paucity in the medical literature exists illustrating critical examination of the injury, treatment protocol, and outcomes. In 1939, Wilson, Michele, and Jacobsen discussed ankle dislocations without fracture but were limited to 2 private patient case studies and only 14 cases that had been previously

2014 eMedicine Emergency Medicine

8855. Diabetes Mellitus, Type 2 (Overview)

Care . 2010 Jan. 33 Suppl 1:S62-9. . . [Guideline] American Diabetes Association. Standards of medical care in diabetes--2012. Diabetes Care . 2012 Jan. 35 Suppl 1:S11-63. . U.S. Preventive Services Task Force. Screening for Type 2 Diabetes Mellitus in Adults. Available at . Keller DM. New EASD/ADA Position Paper Shifts Diabetes Treatment Goals. Medscape Medical News. Available at . Accessed: October 15, 2012. Inzucchi SE, Bergenstal RM, Buse JB, Diamant M, Ferrannini E, Nauck M, et al. Management (...) condition, desires, abilities, and tolerances at the center of the decision-making process. [ , , ] The EASD/ADA position statement contains 7 key points: Individualized glycemic targets and glucose-lowering therapies Diet, exercise, and education as the foundation of the treatment program Use of metformin as the optimal first-line drug unless contraindicated After metformin, the use of 1 or 2 additional oral or injectable agents, with a goal of minimizing adverse effects if possible Ultimately, insulin

2014 eMedicine Emergency Medicine

8856. Depression and Suicide (Overview)

of Emergency Medicine, Professor of Internal Medicine, Program Director for Emergency Medicine, Sanz Laniado Medical Center, Netanya, Israel Barry E Brenner, MD, PhD, FACEP is a member of the following medical societies: , , , , , , , , , Disclosure: Nothing to disclose. Acknowledgements Robert Harwood, MD, MPH, FACEP, FAAEM Program Director, Department of Emergency Medicine, Advocate Christ Medical Center; Assistant Professor, Department of Emergency Medicine, University of Illinois at Chicago College (...) with the public or clients, and had high levels of stress and low levels of physical activity. [ ] The medical profession has the highest risk of death by suicide of any profession or occupation for several reasons (see . In all populations, the existence of depression coupled with knowledge of and access to lethal means dramatically increases the risk for suicide. In addition to medicine, other high control and highly regulated professions such as law enforcement, military, and the legal profession may

2014 eMedicine Emergency Medicine

8857. Arthritis, Rheumatoid (Overview)

) for patients in sustained low-disease activity or remission. Structural changes and functional impairment and comorbidity should be considered when making clinical decisions, in addition to assessing composite measures of disease activity. Until the desired treatment target is reached, drug therapy should be adjusted at least every 3 mo. The desired treatment target should be maintained throughout the remaining course of the disease. The rheumatologist should involve the patient in setting the treatment (...) . Choosing Medications for Rheumatoid Arthritis. 2012 Apr. . . Kelly JC. Rheumatoid arthritis: Updated recommendations released. Medscape Medical News. Available at . May 28, 2015; Accessed: June 30, 2015. [Guideline] Smolen JS, Breedveld FC, Burmester GR, Bykerk V, Dougados M, et al. Treating rheumatoid arthritis to target: 2014 update of the recommendations of an international task force. Ann Rheum Dis . 2015 May 12. . . Carlens C, Hergens MP, Grunewald J, et al. Smoking, use of moist snuff, and risk

2014 eMedicine Emergency Medicine

8858. Bronchitis (Overview)

and decision-making protocols regarding who might benefit from antimicrobial therapy would be useful but are not currently available. (See Treatment and Management, as well as Medication.) To see complete information on Pediatric Bronchitis, please go to the main article by clicking . Previous Next: Pathophysiology During an episode of acute bronchitis, the cells of the bronchial-lining tissue are irritated and the mucous membrane becomes hyperemic and edematous, diminishing bronchial mucociliary function (...) , Brooklyn Hospital Center, Weill Cornell Medical College Disclosure: Nothing to disclose. Jeffrey Nascimento, DO, MS Fellow, Department of Pulmonary Medicine, Lenox Hill Hospital Jeffrey Nascimento, DO, MS, is a member of the following medical societies: , , , , , and Disclosure: Nothing to disclose. Robert E O'Connor, MD, MPH Professor and Chair, Department of Emergency Medicine, University of Virginia Health System Robert E O'Connor, MD, MPH, is a member of the following medical societies

2014 eMedicine Emergency Medicine

8859. Atrial Fibrillation (Overview)

or electrical intervention to terminate Long-standing persistent AF: AF that has persisted for more than 12 months, either because cardioversion has failed or because cardioversion has not been attempted Permanent AF: When both patient and clinician have decided to abort any further restoration strategies after shared clinical decision making Classification scheme for patients with atrial fibrillation (AF). This classification schema pertains to cases that are not related to a reversible cause of AF (eg (...) control in patients with atrial fibrillation. N Engl J Med . 2002 Dec 5. 347 (23):1825-33. . Arrigo M, Ishihara S, Feliot E, et al. New-onset atrial fibrillation in critically ill patients and its association with mortality: a report from the FROG-ICU study. Int J Cardiol . 2018 Sep 1. 266:95-9. . Poli D, Antonucci E, Pengo V, et al, for the Italian Federation of Anticoagulation Clinics. Mechanical prosthetic heart valves: quality of anticoagulation and thromboembolic risk. The observational

2014 eMedicine Emergency Medicine

8860. Adrenal Insufficiency and Adrenal Crisis (Overview)

; Chief Medical Officer, Emergency Medicine Physicians, Ltd; Director, Center for Emergency Medical Education; Medical Editor-in-Chief, ACEP Now; Former Editor-in-Chief, Emergency Physicians Monthly Kevin M Klauer, DO, EJD, FACEP is a member of the following medical societies: Disclosure: Nothing to disclose. Specialty Editor Board Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference Disclosure (...) > Adrenal Crisis in Emergency Medicine Updated: Oct 11, 2018 Author: Kevin M Klauer, DO, EJD, FACEP; Chief Editor: Romesh Khardori, MD, PhD, FACP Share Email Print Feedback Close Sections Sections Adrenal Crisis in Emergency Medicine Overview Background and severe acute adrenocortical insufficiency are often elusive diagnoses that may result in severe morbidity and mortality when undiagnosed or ineffectively treated. [ , ] Although it is thought by experts that more than 50 steroids are produced within

2014 eMedicine Emergency Medicine

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>