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Acute low back pain: diazepam no better than placebo?

Acute low back pain: diazepam no better than placebo?

Ameer Khalek August 20, 2017 Nearly 2.7 million patients present to the emergency department (ED) annually with acute low back pain (LBP). Current medical practice dictates that specific nonsteroidal anti-inflammatory drugs (NSAIDs) are an efficacious first-line...

Risk Factors for Malpractice

Risk Factors for Malpractice

Greg Jasani  August 14, 2017 Malpractice is a major concern in the specialty of emergency medicine.  Emergency medicine physicians must make quick decisions in the setting of limited time, limited information, and high acuity. EDs are a common source of malpractice...

Identifying Low-Risk Febrile Neutropenic Patients in the ED

Identifying Low-Risk Febrile Neutropenic Patients in the ED

Greg Jasani August 2, 2017 Febrile neutropenia is a well known side effect of chemotherapy and patients with it often present to emergency departments.  Standard of care has been to admit these patients for aggressive IV antibiotics. However, recent research has...

Antimicrobial Stewardship in the ED: The Buck Stops Here

Antimicrobial Stewardship in the ED: The Buck Stops Here

Caitlin Carter July 13, 2017 Antimicrobial overuse is the most significant preventable cause of drug resistance in both hospital and community settings[i]. Antibiotic overuse occurs among practitioners in nearly 2/3 of cases. Overuse contributes to the growth of...

Behavioral Health Emergencies in the Emergency Department

Behavioral Health Emergencies in the Emergency Department

Sonya Chistov July 6, 2017 A young patient presents to the emergency department (ED) with altered mental status. According to EMS providers, she had ingested an unknown substance, and now was combative, screaming and flailing uncontrollably. Her point-of-care glucose...

Is IV Contrast for CT Imaging associated with acute kidney injury?

Is IV Contrast for CT Imaging associated with acute kidney injury?

Evan Kuhl, MD June 15, 2017 Radiographic contrast media is considered a common cause of hospital-acquired renal insufficiency, yet the latest research on contrast-induced nephropathy (CIN) suggests there may be no relationship between contrast use and renal injury1,2....

Efficacy of Prescription Guidelines on Opioid Prescriptions in the ED

Efficacy of Prescription Guidelines on Opioid Prescriptions in the ED

Austin Wu June 7, 2017 As described in a previous Urgent Matters blog post, opioid prescriptions in the emergency department (ED) have the potential to cause long-term opioid use (defined as 180 days or more of opioids within 12 months of the index ED visit). Further,...

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