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

8901. Asthma (Treatment)

-agonists and anticholinergics), theophylline, leukotriene modifiers, and more recent strategies such as the use of anti-immunoglobulin E (IgE) antibodies (omalizumab) and anti-IL-5 antibodies in selected patients. Relief medications include short-acting bronchodilators, systemic corticosteroids, and ipratropium. For all but the most severely affected patients, the ultimate goal is to prevent symptoms, minimize morbidity from acute episodes, and prevent functional and psychological morbidity to provide (...) should be reassessed in 2-4 weeks to make sure that control is maintained with the new treatment. A study by Bruzzese et al assessed the Asthma Self-Management for Adolescents (ASMA) approach, which is a school-based intervention for adolescents and medical providers. [ ] The study found that ASMA helped improve self-management and reduced morbidity and urgent health care use in low-income, urban, minority adolescents. Next: Environmental Control Environmental exposures and irritants can play

2014 eMedicine Emergency Medicine

8902. Anxiety (Treatment)

of fluoxetine and placebo. The Fluoxetine Panic Disorder Study Group. Am J Psychiatry . 1998 Nov. 155(11):1570-7. . Uhlenhuth EH, Balter MB, Ban TA, Yang K. International study of expert judgment on therapeutic use of benzodiazepines and other psychotherapeutic medications: VI. Trends in recommendations for the pharmacotherapy of anxiety disorders, 1992-1997. Depress Anxiety . 1999. 9(3):107-16. . Herrera-Arellano A, Jiménez-Ferrer E, Zamilpa A, Morales-Valdéz M, García-Valencia CE, Tortoriello J. Efficacy (...) . Acknowledgements Edward Bessman, MD Chairman, Department of Emergency Medicine, John Hopkins Bayview Medical Center; Assistant Professor, Department of Emergency Medicine, Johns Hopkins University School of Medicine Edward Bessman, MD is a member of the following medical societies: , , and Disclosure: Nothing to disclose. Barry E Brenner, MD, PhD, FACEP Professor of Emergency Medicine, Professor of Internal Medicine, Program Director, Emergency Medicine, Case Medical Center, University Hospitals, Case Western

2014 eMedicine Emergency Medicine

8903. Aneurysm, Abdominal (Treatment)

medical societies: and Disclosure: lippincott Royalty textbook royalty; wiley Royalty textbook royalty Jeffrey Lawrence Kaufman, MD Associate Professor, Department of Surgery, Division of Vascular Surgery, Tufts University School of Medicine Jeffrey Lawrence Kaufman, MD 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 (...) , expansion, or leak. Next: Treatment of Unruptured Aneurysms Even patients who do not have symptoms from their AAAs may eventually require surgical intervention because the result of medical management in this population is a mortality of 100% over time as a consequence of rupture. In addition, these patients have a potential for limb loss from peripheral embolization. The decision to treat an unruptured AAA is based on operative risk, the risk of rupture, and the patient’s estimated life expectancy

2014 eMedicine Emergency Medicine

8904. Anemia, Acute (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. Additional Contributors Samuel M Keim, MD, MS Professor and Chair, Department of Emergency Medicine, University of Arizona College of Medicine Samuel M Keim, MD, MS is a member of the following medical societies: , , , , Disclosure (...) history while assessing the ABCs ( A irway, B reathing, C irculation) and initiating resuscitation. In the critically ill patient, the emergency physician should attempt to obtain a focused history per the mnemonic AMPLE ( A llergies; M edications, including over-the-counter drugs such as nonsteroidal anti-inflammatory drugs [NSAIDs]; P ast medical and surgical history; L ast meal; and E vents preceding incident). With noncommunicative patients, information should be sought from caretakers, paramedics

2014 eMedicine Emergency Medicine

8905. Atrial Fibrillation (Treatment)

(2.0-3.0). A risk-stratification scheme should be used by clinicians to help them decide which patients with nonvalvular AF would particularly benefit from anticoagulation therapy, but it should not be the definitive means of making such decisions. Postoperative and postdischarge anticoagulation therapy Anticoagulation prior to and during an elective surgery may be continued or stopped depending on the patient’s risk of bleeding and risk of thromboembolism. If the risk of thromboembolism is high (...) Atrial Fibrillation (Treatment) Atrial Fibrillation Treatment & Management: Approach Considerations, Risk-Management Decisions, Management of New-Onset AF Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache

2014 eMedicine Emergency Medicine

8906. Abortion, Missed (Treatment)

with clinical presentation (spotting vs bleeding) to aid in making clinical decisions. This endovaginal ultrasonogram reveals an irregular gestational sac with an amorphic fetal pole. No fetal cardiac activity was noted. This image represents a missed miscarriage or fetal demise. of 6 Tables Contributor Information and Disclosures Author Slava V Gaufberg, MD Assistant Professor of Medicine, Harvard Medical School; Director of Transitional Residency Training Program, Cambridge Health Alliance Slava V (...) , Brocklehurst P, Porter R, Read M, Vyas S, Smith L. Management of miscarriage: expectant, medical, or surgical? Results of randomised controlled trial (miscarriage treatment (MIST) trial). BMJ . 2006 May 27. 332(7552):1235-40. . Dempsey A, Davis A. Medical management of early pregnancy failure: how to treat and what to expect. Semin Reprod Med . 2008 Sep. 26(5):401-10. . Coomarasamy A, Williams H, Truchanowicz E, et al. A Randomized Trial of Progesterone in Women with Recurrent Miscarriages. N Engl J Med

2014 eMedicine Emergency Medicine

8907. Abortion, Threatened (Treatment)

with clinical presentation (spotting vs bleeding) to aid in making clinical decisions. This endovaginal ultrasonogram reveals an irregular gestational sac with an amorphic fetal pole. No fetal cardiac activity was noted. This image represents a missed miscarriage or fetal demise. of 6 Tables Contributor Information and Disclosures Author Slava V Gaufberg, MD Assistant Professor of Medicine, Harvard Medical School; Director of Transitional Residency Training Program, Cambridge Health Alliance Slava V (...) , Brocklehurst P, Porter R, Read M, Vyas S, Smith L. Management of miscarriage: expectant, medical, or surgical? Results of randomised controlled trial (miscarriage treatment (MIST) trial). BMJ . 2006 May 27. 332(7552):1235-40. . Dempsey A, Davis A. Medical management of early pregnancy failure: how to treat and what to expect. Semin Reprod Med . 2008 Sep. 26(5):401-10. . Coomarasamy A, Williams H, Truchanowicz E, et al. A Randomized Trial of Progesterone in Women with Recurrent Miscarriages. N Engl J Med

2014 eMedicine Emergency Medicine

8908. Pediatrics, Appendicitis (Overview)

societies: , , , , , , , , , , , , , , , , , , and Disclosure: Nothing to disclose. Kara E Hennelly, MD Fellow, Department of Pediatric Emergency Medicine, Children's Hospital Boston Kara E Hennelly, MD is a member of the following medical societies: Disclosure: Nothing to disclose. Michael S Katz, MD Research Fellow, Department of Pediatric Surgery, St Christopher's Hospital for Children Michael S Katz, MD is a member of the following medical societies: , , and Disclosure: Nothing to disclose. Robert (...) decision rule to identify children at low risk for appendicitis. Pediatrics . 2005 Sep. 116(3):709-16. . Samuel M. Pediatric appendicitis score. J Pediatr Surg . 2002 Jun. 37(6):877-81. . Schneider C, Kharbanda A, Bachur R. Evaluating appendicitis scoring systems using a prospective pediatric cohort. Ann Emerg Med . 2007 Jun. 49(6):778-84, 784.e1. . Kronman MP, Oron AP, Ross RK, Hersh AL, Newland JG, Goldin A, et al. Extended- Versus Narrower-Spectrum Antibiotics for Appendicitis. Pediatrics . 2016 Jul

2014 eMedicine Emergency Medicine

8909. Palliative Care in the Acute Care Setting (Overview)

, Marshall E. Radiotherapy in the acute medical setting. Clin Med . 2015 Aug. 15 (4):382-7. . Serban S, Bruno F. New interventional strategies for the treatment of cancer pain. Topics in Pain Management . December 2009. 25(5):1-7. Agra Y, Sacristan A, Gonzalez M, Ferrari M, Portugues A, Calvo MJ. Efficacy of senna versus lactulose in terminal cancer patients treated with opioids. J Pain Symptom Manage . 1998 Jan. 15(1):1-7. . Methylnaltrexone bromide (Relistor) [package insert]. Philadelphia, PA: Wyeth (...) to palliative care, but this approach is not always implemented in acute care settings. A study of how transitions to palliative care are managed in the UK found several roadblocks. Health care professionals reported poor communication with patients, as well as the limited ability of junior staff to make care decisions. [ ] Previous Next: Morbidity and Mortality Cancer is the most common diagnosis among patients in palliative care. The traditional eligibility criterion for hospice care in the United States

2014 eMedicine Emergency Medicine

8910. Otitis Media (Overview)

children: The clinician should prescribe antibiotic therapy for bilateral AOM in children aged 6 months through 23 months without severe signs or symptoms (ie, mild otalgia for less than 48 hours and temperature of less than 102.2°F); evidence quality: grade B Nonsevere unilateral AOM in young children: The clinician should either prescribe antibiotic therapy or offer observation with close follow-up based on joint decision-making with the parent(s)/caregiver for children aged 6-23 months of age (...) with unilateral AOM without severe signs or symptoms (ie, mild otalgia for less than 48 hours and temperature less than 102.2°F); evidence quality: grade B Nonsevere AOM in older children: The clinician should either prescribe antibiotic therapy or offer observation with close follow-up based on joint decision-making with the parent(s)/caregiver for children aged 24 months or older with AOM (bilateral or unilateral) without severe signs or symptoms (ie, mild otalgia for less than 48 hours and temperature less

2014 eMedicine Emergency Medicine

8911. Pediatrics, Bacteremia and Sepsis (Overview)

and parental education level. [ , , ] Temperature elevation may not be the only sign of sepsis in neonates and infants. Other potential signs and symptoms of sepsis unique to infancy should also be assessed. History taking is an important part of clinical decision making. The clinician should ask the patient's parents or caretakers about the following items when they bring in a febrile or ill-appearing child: Immunization history, such as recent vaccination or a history of inadequate immunizations History (...) decision making. [ ] Previous Next: The Physical Exam The physical examination of the febrile child is directed at locating a source of or reason for the temperature elevation, with specific attention to potential serious bacterial illnesses. Alternatively, an elevated temperature is not the only vital-sign irregularity that may indicate a potential infectious problem. Hypothermia may be a presenting vital-sign abnormality in septic neonates. Thermometer use varies between oral, rectal, or axillary

2014 eMedicine Emergency Medicine

8912. Neoplasms, Lung (Overview)

Proc . 2008 May. 83(5):584-94. . . Nelson R. Lung Cancer Rates Surging in Never-Smokers. Medscape Medical News. Available at . September 9, 2015; Accessed: September 17, 2015. Beckett WS. Epidemiology and etiology of lung cancer. Clin Chest Med . 1993 Mar. 14(1):1-15. . Bagnardi V, Rota M, Botteri E, et al. Alcohol consumption and lung cancer risk in never smokers: a meta-analysis. Ann Oncol . 2011 Dec. 22(12):2631-9. . Agaku IT, King BA, Dube SR. Current cigarette smoking among adults - United (...) , diagnostic screening trial. Lancet Oncol . 2016 Mar 18. . Kinsinger LS, Anderson C, Kim J, Larson M, Chan SH, King HA, et al. Implementation of Lung Cancer Screening in the Veterans Health Administration. JAMA Intern Med . 2017 Jan 30. . . Castellino M. Lung Cancer Screening -- Benefits Few, May Harm Many. Medscape Medical News. Available at . January 30, 2017; Accessed: February 2, 2017. Katki HA, Kovalchik SA, Petito LC, Cheung LC, Jacobs E, Jemal A, et al. Implications of Nine Risk Prediction Models

2014 eMedicine Emergency Medicine

8913. Obstruction, Large Bowel (Overview)

outcomes of self-expandable metallic stenting for malignant colorectal obstruction in 42 elderly patients were excellent (97.6%), with shorter stents yielding longer event-free survival. [ ] Previous References Kahi CJ, Rex DK. Bowel obstruction and pseudo-obstruction. Gastroenterol Clin North Am . 2003 Dec. 32(4):1229-47. . Pujahari AK. Decision making in bowel obstruction: a review. J Clin Diagn Res . 2016 Nov. 10 (11):PE07-12. . . Yeh EL, McNamara RM. Abdominal pain. Clin Geriatr Med . 2007 May. 23 (...) ):63-7. . Flasar MH, Goldberg E. Acute abdominal pain. Med Clin North Am . 2006 May. 90(3):481-503. . Rabinovici R, Simansky DA, Kaplan O, Mavor E, Manny J. Cecal volvulus. Dis Colon Rectum . 1990 Sep. 33(9):765-9. . De Giorgio R, Knowles CH. Acute colonic pseudo-obstruction. Br J Surg . 2009 Mar. 96(3):229-39. . Batke M, Cappell MS. Adynamic ileus and acute colonic pseudo-obstruction. Med Clin North Am . 2008 May. 92(3):649-70, ix. . Imai M, Kamimura K, Takahashi Y, et al. The factors influencing

2014 eMedicine Emergency Medicine

8914. Pediatrics, Sedation (Overview)

of medication employed and the route by which it is administered. In addition, the setting in which the medications are used play a role in the decision-making process. Customizing the choices is important. Dosing considerations Analgesia and sedation should be appropriate for the degree of insult. Although the medication dose is calculated based on weight, the response can vary significantly from one child to the next. Flexibility and careful titration are crucial. Most analgesics and sedatives in children (...) . Pediatr Emerg Care . 2010 Nov. 26(11):798-802. . Canavan N. New Combination Sedative Ketofol Safer for Children. Medscape Medical News. Available at . Accessed: May 27, 2013. Scheier E, Gadot C, Leiba R, Shavit I. Sedation with the Combination of Ketamine and Propofol in a Pediatric ED: A Retrospective Case Series Analysis. Am J Emerg Med . 2015 Jun. 33 (6):815-7. . Bhatt M, Johnson DW, Chan J, Taljaard M, Barrowman N, Farion KJ, et al. Risk Factors for Adverse Events in Emergency Department

2014 eMedicine Emergency Medicine

8915. Pediatrics, Otitis Media (Overview)

: grade B Nonsevere bilateral AOM in young children: The clinician should prescribe antibiotic therapy for bilateral AOM in children aged 6 months through 23 months without severe signs or symptoms (ie, mild otalgia for less than 48 hours and temperature of less than 102.2°F); evidence quality: grade B Nonsevere unilateral AOM in young children: The clinician should either prescribe antibiotic therapy or offer observation with close follow-up based on joint decision-making with the parent(s)/caregiver (...) for children aged 6-23 months of age with unilateral AOM without severe signs or symptoms (ie, mild otalgia for less than 48 hours and temperature less than 102.2°F); evidence quality: grade B Nonsevere AOM in older children: The clinician should either prescribe antibiotic therapy or offer observation with close follow-up based on joint decision-making with the parent(s)/caregiver for children aged 24 months or older with AOM (bilateral or unilateral) without severe signs or symptoms (ie, mild otalgia

2014 eMedicine Emergency Medicine

8916. Pediatrics, Epiglottitis (Overview)

, Berkowitz I, Tunkel D. The heat is on... thermal epiglottitis as a late presentation of airway steam injury. J Emerg Med . 2014 Feb. 46(2):e43-6. . Charles R, Fadden M, Brook J. Acute epiglottitis. BMJ . 2013 Sep 19. 347:f5235. . Park KW, Darvish A, Lowenstein E. Airway management for adult patients with acute epiglottitis: a 12-year experience at an academic medical center (1984-1995). Anesthesiology . 1998 Jan. 88(1):254-61. . Sobol SE, Zapata S. Epiglottitis and croup. Otolaryngol Clin North Am (...) , the physician should use clinical judgment in making this decision. Previous References Cherry JD. Epiglottitis (supraglottitis). Feign RD, Cherry JD, Demmler-Harrison GJ, Kaplan SL. Textbook of Pediatric Infectious Diseases . 6th. Philadelphia: Saunders; 2009. 244. Shah RK, Roberson DW, Jones DT. Epiglottitis in the Hemophilus influenzae type B vaccine era: changing trends. Laryngoscope . 2004 Mar. 114 (3):557-60. . Lee AC, Lam SY. Life threatening acute epiglottitis in acute leukemia. Leuk Lymphoma . 2002

2014 eMedicine Emergency Medicine

8917. Myocardial Infarction (Overview)

of Cardiovascular Medicine . 10th ed. Philadelphia, PA: Elsevier Saunders; 2015. Wijnbergen I, Van't Veer M, Pijls NH, Tijssen J. Circadian and weekly variation and the influence of environmental variables in acute myocardial infarction. Neth Heart J . 2012 Sep. 20 (9):354-9. . Kundi H, Kiziltunc E, Korkmaz A, Cicek G, Ornek E, Ileri M. A novel risk scoring system to predict cardiovascular death in patients with acute myocardial infarction: CHA2DS2-VASc-CF score. Clin Appl Thromb Hemost . 2018 Mar. 24 (2):273-8 (...) definition of myocardial infarction. J Am Coll Cardiol . 2012 Oct 16. 60 (16):1581-98. . Fujita M, Nakae I, Kihara Y, et al. Determinants of collateral development in patients with acute myocardial infarction. Clin Cardiol . 1999 Sep. 22 (9):595-9. . Burchfield JS, Xie M, Hill JA. Pathological ventricular remodeling: mechanisms: part 1 of 2. Circulation . 2013 Jul 23. 128 (4):388-400. . Yellon DM, Hausenloy DJ. Myocardial reperfusion injury. N Engl J Med . 2007 Sep 13. 357 (11):1121-35. . Marban E

2014 eMedicine Emergency Medicine

8918. Pacemaker and Automatic Internal Cardiac Defibrillator (Overview)

=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTYyMjQ1LW92ZXJ2aWV3 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

8919. Pediatrics, Fever (Overview)

instructions simply state "call physician" or "seek medical care." Parents should be educated that the steadily changing weight of their child will result in a need to periodically update the correct dose of medication. [ , ] According to the 2003 clinical policy of the American College of Emergency Physicians (ACEP), response to antipyretic medication does not change the likelihood of a child having a serious bacterial infection and should not be used for clinical decision making. [ ] Previous Next (...) . [ , , ] Temperature elevation may not be the only sign of sepsis in neonates and infants. Other potential signs and symptoms of sepsis unique to infancy should also be assessed. History taking is an important part of clinical decision making. The clinician should ask the patient's parents or caretakers about the following items when they bring in a febrile or ill-appearing child: Immunization history, such as recent vaccination or a history of inadequate immunizations History of exposure to sick contacts

2014 eMedicine Emergency Medicine

8920. From ABCs to GRADE: Canadian Task Force on Preventive Health Care’s new rating system for clinical practice guidelines Full Text available with Trip Pro

. Connor Gorber Sarah S Tonelli Marcello M Pottie Kevin K Singh Harminder H Joffres Michel M Shaw Elizabeth E eng Journal Article Canada Can Fam Physician 0120300 0008-350X IM Advisory Committees Canada Decision Making Evidence-Based Medicine Family Practice standards Humans Patient Participation Physician-Patient Relations Practice Guidelines as Topic standards Primary Health Care standards 2013 12 17 6 0 2013 12 18 6 0 2014 10 1 6 0 ppublish 24336539 59/12/1282 PMC3860923 BMJ. 2001 Aug 11;323(7308

2013 Canadian Family Physician

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