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Emergency Medicine Pitfalls

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41. Emergency Neuroradiology (Follow-up)

. AJR Am J Roentgenol . 1996 Mar. 166(3):675-81. . Libman RB, Wirkowski E, Alvir J, Rao TH. Conditions that mimic stroke in the emergency department. Implications for acute stroke trials. Arch Neurol . 1995 Nov. 52(11):1119-22. . Mullins ME. Modern emergent stroke imaging: pearls, protocols, and pitfalls. Radiol Clin North Am . 2006 Jan. 44(1):41-62, vii-viii. . Ogawa T, Inugami A, Fujita H, et al. MR diagnosis of subacute and chronic subarachnoid hemorrhage: comparison with CT. AJR Am J Roentgenol (...) 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

2014 eMedicine Emergency Medicine

42. Emergency Neuroradiology (Treatment)

. AJR Am J Roentgenol . 1996 Mar. 166(3):675-81. . Libman RB, Wirkowski E, Alvir J, Rao TH. Conditions that mimic stroke in the emergency department. Implications for acute stroke trials. Arch Neurol . 1995 Nov. 52(11):1119-22. . Mullins ME. Modern emergent stroke imaging: pearls, protocols, and pitfalls. Radiol Clin North Am . 2006 Jan. 44(1):41-62, vii-viii. . Ogawa T, Inugami A, Fujita H, et al. MR diagnosis of subacute and chronic subarachnoid hemorrhage: comparison with CT. AJR Am J Roentgenol (...) 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

2014 eMedicine Emergency Medicine

43. Emergency Neuroradiology (Diagnosis)

. AJR Am J Roentgenol . 1996 Mar. 166(3):675-81. . Libman RB, Wirkowski E, Alvir J, Rao TH. Conditions that mimic stroke in the emergency department. Implications for acute stroke trials. Arch Neurol . 1995 Nov. 52(11):1119-22. . Mullins ME. Modern emergent stroke imaging: pearls, protocols, and pitfalls. Radiol Clin North Am . 2006 Jan. 44(1):41-62, vii-viii. . Ogawa T, Inugami A, Fujita H, et al. MR diagnosis of subacute and chronic subarachnoid hemorrhage: comparison with CT. AJR Am J Roentgenol (...) 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

2014 eMedicine Emergency Medicine

44. Emergency Neuroradiology (Overview)

. AJR Am J Roentgenol . 1996 Mar. 166(3):675-81. . Libman RB, Wirkowski E, Alvir J, Rao TH. Conditions that mimic stroke in the emergency department. Implications for acute stroke trials. Arch Neurol . 1995 Nov. 52(11):1119-22. . Mullins ME. Modern emergent stroke imaging: pearls, protocols, and pitfalls. Radiol Clin North Am . 2006 Jan. 44(1):41-62, vii-viii. . Ogawa T, Inugami A, Fujita H, et al. MR diagnosis of subacute and chronic subarachnoid hemorrhage: comparison with CT. AJR Am J Roentgenol (...) 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

2014 eMedicine Emergency Medicine

45. Autonomy vs paternalism in the emergency department: the potential deleterious impact of patient satisfaction surveys. (PubMed)

Autonomy vs paternalism in the emergency department: the potential deleterious impact of patient satisfaction surveys. Patient satisfaction surveys, such as Press Ganey, are flawed metrics for the emergency department setting and also in broader pain medicine. National experts discuss the pitfalls of applying such measures in pain care, and the potential unintended negative consequences to patients and providers alike. Evaluators, administrators, and payers are challenged to understand

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2013 Pain Medicine

46. Real-time and Label-free Bio-sensing of Molecular Interactions by Surface Plasmon Resonance: A Laboratory Medicine Perspective (PubMed)

of clinical applications, the development of more accessible platforms may see surface plasmon resonance (SPR) emerge as one of the most powerful optical detection platforms for the real-time monitoring of biomolecular interactions in a label-free environment.In this review, we provide an overview of SPR principles and current and future capabilities in a diagnostic context, including its application for monitoring a wide range of molecular markers of disease. The advantages and pitfalls of using SPR (...) technique, technological advances may see SPR quickly emerge as a highly powerful technology, enabling rapid and routine analysis of molecular interactions for a diverse range of targets, including those with clinical applicability. As the technology produces data quickly, in real-time and in a label-free environment, it may well have a significant presence in future developments in lab-on-a-chip technologies including point-of-care devices and personalised medicine.

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2012 The Clinical Biochemist Reviews

47. Simulation Center Accreditation and Programmatic Benchmarks: A Review for Emergency Medicine. (PubMed)

Simulation Center Accreditation and Programmatic Benchmarks: A Review for Emergency Medicine. Simulation-based education has grown significantly over the past 10 years. As a result, more professional organizations are developing or implementing accreditation processes to help define minimum standards and best practices in simulation-based training. However, the benefits and potential pitfalls of sponsoring and implementing such programs have yet to be fully evaluated across specialties (...) . The board of directors of the Society for Academic Emergency Medicine (SAEM) requested an evaluation of the potential to create an emergency medicine (EM)-based Simulation Consultation and Accreditation Service. In response to this request, the Simulation Accreditation and Consultation Work Group, a subgroup of the Committee on Technology in Medical Education (now Simulation Academy), was created. The work group was charged with: 1) reviewing current benchmarks and standards set by existing simulation

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2010 Academic Emergency Medicine

48. Potential and limitations of e-learning in emergency medicine. (PubMed)

Potential and limitations of e-learning in emergency medicine. This paper describes the potential benefits, pitfalls and barriers to adopting e-learning in emergency medicine. While the benefits relating to access, engagement and quality assurance are clear, caution is urged in embracing e-learning for e-learning's sake. It is argued that, if educational strategies are to change, this must be to the benefit of learners and not just for the convenience of access or record keeping. A variety of e

2010 Emergency Medicine Journal

49. Membrane vesicles, current state-of-the-art: emerging role of extracellular vesicles (PubMed)

, classification of membrane vesicles, protocols of their isolation and detection, molecular details of vesicular release, clearance and biological functions are still under intense investigation. Here, we give a comprehensive overview of extracellular vesicles. After discussing the technical pitfalls and potential artifacts of the rapidly emerging field, we compare results from meta-analyses of published proteomic studies on membrane vesicles. We also summarize clinical implications of membrane vesicles (...) Membrane vesicles, current state-of-the-art: emerging role of extracellular vesicles Release of membrane vesicles, a process conserved in both prokaryotes and eukaryotes, represents an evolutionary link, and suggests essential functions of a dynamic extracellular vesicular compartment (including exosomes, microparticles or microvesicles and apoptotic bodies). Compelling evidence supports the significance of this compartment in a broad range of physiological and pathological processes. However

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2011 Cellular and Molecular Life Sciences

50. Evaluation and Management of Adult Patients Presenting to the Emergency Department With Acute Headache

policies of the American College of Emergency Physiciansand,assuch,arenotsubjecttothesamepeerreviewprocessasarticlesappearingintheprint journal. Policy statements and clinical policies of ACEP do not necessarily re?ect the policies and beliefs of Annals of Emergency Medicine and its editors. 0196-0644/$-see front matter Copyright © 2008 by the American College of Emergency Physicians. doi:10.1016/j.annemergmed.2008.07.001 Volume ??, ??. ? : October ???? Annals of Emergency Medicine 407[Ann Emerg Med (...) -language sources, human studies, adults, and years January 2000 to August 2006. Additional articles were reviewed from the bibliography of articles cited and from published textbooks and review articles. Subcommittee members supplied articles from their own ?les, and more recent articles identi?ed during the expert review process were also included. The reasons for developing clinical policies in emergency medicine and the approaches used in their development have been enumerated. 4 This policy

2008 Congress of Neurological Surgeons

51. Individualised funding interventions to improve health and social care outcomes for people with a disability

allocation system':ab,ti OR 'self-directed assessment':ab,ti OR 'self-directed care':ab,ti OR 'self-directed support':ab,ti OR 'support plan':ab,ti OR 'virtual budget':ab,ti OR 'disability living allowance':ab,ti OR 'self-determin*':ab,ti AND [1985-2015]/py Grey literature An international list of grey literature databases published by the Campbell Collaboration (Hammerstrøm et al., 2009) was consulted in the first instance. A US electronic database, run by The New York Academy of Medicine and dedicated (...) known as the Local Area Coordination charter which facilitated a mechanism for “Direct Consumer Funding” (Carter Anand et al., 2012b). Thus, individualised funding appears to have emerged for the first time, around the mid-eighties. For this reason, the searches of published literature were limited to the period 1985 – quarter 1 of 2016. For example, date filters were applied to the Scopus search results (Appendix 1). Other filters were also applied where necessary to refine the search

2019 Campbell Collaboration

52. Assessment of elevated creatinine

equations have been used for children, younger adults, middle-aged adults, and older adults. The FAS equation is based on normalised serum creatinine (SCr/Q), where Q is the median SCr from healthy populations to account for age and sex. FAS eGFR is presented as: eGFR = 107.3/SCr/Q for people aged ≥2 years and <40 years eGFR = (107.3/SCr/Q) x 0.988 (age-40) for people aged >40 years. Pitfalls in the use of eGFR values eGFR overestimates GFR in low GFR states (due to increased tubular secretion (...) disease states: for example, an increase of only urea levels and a combination of increased urea and creatinine levels, but not isolated elevated creatinine, were independent risk factors of death from acute coronary syndromes. Saygitov RT, Glezer MG, Semakina SV. Blood urea nitrogen and creatinine levels at admission for mortality risk assessment in patients with acute coronary syndromes. Emerg Med J. 2010 Feb;27(2):105-9. http://www.ncbi.nlm.nih.gov/pubmed/20156860?tool=bestpractice.com While

2018 BMJ Best Practice

53. Assessment of elevated creatinine

equations have been used for children, younger adults, middle-aged adults, and older adults. The FAS equation is based on normalised serum creatinine (SCr/Q), where Q is the median SCr from healthy populations to account for age and sex. FAS eGFR is presented as: eGFR = 107.3/SCr/Q for people aged ≥2 years and <40 years eGFR = (107.3/SCr/Q) x 0.988 (age-40) for people aged >40 years. Pitfalls in the use of eGFR values eGFR overestimates GFR in low GFR states (due to increased tubular secretion (...) disease states: for example, an increase of only urea levels and a combination of increased urea and creatinine levels, but not isolated elevated creatinine, were independent risk factors of death from acute coronary syndromes. Saygitov RT, Glezer MG, Semakina SV. Blood urea nitrogen and creatinine levels at admission for mortality risk assessment in patients with acute coronary syndromes. Emerg Med J. 2010 Feb;27(2):105-9. http://www.ncbi.nlm.nih.gov/pubmed/20156860?tool=bestpractice.com While

2018 BMJ Best Practice

54. Assessment of abdominal pain in pregnancy

Consultant in Family Medicine Parker D Sanders and Isabella Sanders Professor of Primary Care Rochester MN Disclosures JB declares that he has no competing interests. Lead Obstetrician Lothian Simpson Centre for Reproductive Health The Royal Infirmary Edinburgh Scotland Disclosures RH declares that she has no competing interests. Professor UCLA School of Public Health and David Geffen School of Medicine Los Angeles Medical Director Health Disaster Management/Emergency Medical Services Orange County (...) Obstet Gynecol Rep Biol. 2007;131:4-12. http://www.ncbi.nlm.nih.gov/pubmed/16982130?tool=bestpractice.com Diagnostic challenges and pitfalls The physiological and anatomical changes of various organs during the course of pregnancy result in major diagnostic challenges for the clinician. Reproductive organs share the same visceral innervations as the lower ileum, sigmoid colon, and rectum. It is therefore often difficult to differentiate between pain of gynaecological and GI origin. Pain may be due

2018 BMJ Best Practice

55. Diagnosis and management of epilepsy in adults

practice 69 11.4 Additional advice to NHSScotland from Healthcare Improvement Scotland and the Scottish Medicines Consortium 69 12 The evidence base 72 12.1 Systematic literature review 72 12.2 Recommendations for research 72 12.3 Review and updating 73 13 Development of the guideline 74 13.1 Introduction 74 13.2 The guideline development group 74 13.3 Consultation and peer review 76 Abbreviations 78 Annexes 80 References 84| 1 1 Introduction 1.1 THE NEED FOR A GUIDELINE Since the publication of SIGN (...) , this guideline was updated to take account of new drug safety advice from the Medicines and Healthcare products Regulatory Agency (MHRA), published in April 2018, relating to use of valproate medicines in women and girls of childbearing potential. 454 Warnings have been inserted where relevant in sections 4 and 5 to reflect this advice. 2 Key recommendations New 3 Diagnosis Updated 4 Treatment Updated September 2018 5 Epilepsy and women’s health Updated September 2018 6 Psychiatric comorbidity New 7 Sleep

2018 SIGN

56. Transition from children's to adults' services for young people using health or social care services

services (NG43) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 4 of 32Recommendations Recommendations People using services have the right to be involved in discussions and make informed decisions about their care, as described in your care. Making decisions using NICE guidelines explains how we use words to show the strength (or certainty) of our recommendations, and has information about prescribing medicines (...) that they share with adults' services. This should be in the young person's preferred format. It should be produced early enough to form part of discussions with the young person about planning their transition (for example 3 months before transfer). It could contain: a 1-page profile information about their health condition, education and social care needs their preferences about parent and carer involvement emergency care plans history of unplanned admissions their strengths, achievements, hopes

2016 National Institute for Health and Clinical Excellence - Clinical Guidelines

57. Menopause

used on a regular, twice-weekly basis for relief of vaginal dryness. Long-term use is agreed by NICE with no monitoring of the endometrium or progestrogen needed. Women with breast cancer may be able to use local oestrogens – seek specialist advice. Prescribed alternatives to HRT These are not first line treatments but may be used with selective women who can not take hormones. Selective serotonin reuptake inhibitors (SSRIs) and seratonin and norepinephrine reuptake inhibitors (SNRIs) Emerging (...) the General Medical Council’s Prescribing guidance: prescribing unlicensed medicines for further information. The therapeutic approach The way in which menopause is perceived and experienced is influenced by its timing, personal meaning and severity of bodily symptoms which

2018 Royal College of Nursing

58. Guidelines on Diagnosis and Management of Syncope

contribution of the European Heart Rhythm Association (EHRA) Endorsed by: European Academy of Neurology (EAN), European Federation of Autonomic Societies (EFAS), European Federation of Internal Medicine (EFIM), European Union Geriatric Medicine Society (EUGMS), European Society of Emergency Medicine (EuSEM) The disclosure forms of all experts involved in the development of these Guidelines are available on the ESC website . For the Supplementary Data which include background information and detailed (...) EEG Electroencephalogram EFAS European Federation of Autonomic Societies EFIM European Federation of Internal Medicine EHRA European Heart Rhythm Association ENS European Neurological Society EPS Electrophysiological study ESC European Society of Cardiology EUGMS European Union Geriatric Medicine Society EuSEM European Society of Emergency Medicine HBPM Home blood pressure monitoring HCM Hypertrophic cardiomyopathy HR Heart rate ICD Implantable cardioverter defibrillator ILR Implantable loop

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2018 European Society of Cardiology

60. Accountable care organisations

for review questions 1 and 2 41 Appendix 4 — US Centers for Medicare & Medicaid Services ACO quality outcome measures 69 Appendix 5 — Case studies 71 6 ACCOUNTABLE CARE ORGANISATIONS| SAX INSTITUTE List of acronyms ACC Accountable Care Collaborative ACCHS Aboriginal Community Controlled Health Service ACO Accountable Care Organisation AHC Accountable Health Community AQC Alternative Quality Contract A & E Accident & Emergency BCBSMA Blue Cross Blue Shield of Massachusetts CCG Clinical Commissions Group (...) CCO Coordinated Care Organisation CMMI Centers for Medicare & Medicaid Services Innovation CMS Centers for Medicare & Medicaid Services DOH Department of Health EHR Electronic Health Record EM Electronic Medical Record ER Emergency Room ESRD End Stage Renal Disease FFS Fee for Service FLO Florence Simple Telehealth FY Financial Year HCP Health Care Partners HCH Health Care Homes HIT Health Information Technology HMO Health Maintenance Organisation iCMP integrated Care Management Program LHD Local

2018 Sax Institute Evidence Check

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