Here are what the editors at HealthDay consider to be the most important developments in Emergency Medicine for September 2019. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.
CDC Says People Can Contract Tuberculosis From Deer
MONDAY, Sept. 30, 2019 (HealthDay News) -- According to the U.S. Centers for Disease Control and Prevention, humans can contract a rare type of tuberculosis, called bovine tuberculosis, from deer.
CNN Article
More Information: CDC
CDC: THC May Be to Blame for Most Vaping-Related Illnesses
FRIDAY, Sept. 27, 2019 (HealthDay News) -- Products containing the marijuana chemical tetrahydrocannabinol (THC) appear to be a main driver behind the hundreds of U.S. cases of serious respiratory illness related to vaping, health officials announced Friday.
More Information
Cases of Legionnaires' Disease Tied to NC State Fair Rise to 25
FRIDAY, Sept. 27, 2019 (HealthDay News) -- The number of cases of Legionnaires' disease tied to the North Carolina Mountain State fair has risen to 25, with one death, according to the state division of public health.
CNN Article
More Information: CDC
Sports Specialization Ups Injury Risk, Especially in Girls
FRIDAY, Sept. 27, 2019 (HealthDay News) -- Sports specialization is associated with a greater volume of vigorous sports activity and increased risk of injury, according to a study published online Sept. 18 in the Orthopaedic Journal of Sports Medicine.
Abstract/Full Text
Eight Touchpoints May Predict Opioid Overdoses
FRIDAY, Sept. 27, 2019 (HealthDay News) -- Eight candidate touchpoints are associated with increased risk of fatal opioid overdose, according to a study published in the Nov. 1 issue of Drug and Alcohol Dependence.
Abstract/Full Text (subscription or payment may be required)
Mental Health Service Use Up After Bariatric Surgery
FRIDAY, Sept. 27, 2019 (HealthDay News) -- There is an increase in mental health service presentations after bariatric surgery, according to a study published online Sept. 25 in JAMA Psychiatry.
Abstract/Full Text (subscription or payment may be required)
Average Annual Premium for Workers Increased in 2019
THURSDAY, Sept. 26, 2019 (HealthDay News) -- In 2019, the average annual health insurance premium for workers increased slightly for single coverage and family coverage, according to a report published online Sept. 25 in Health Affairs.
Abstract/Full Text (subscription or payment may be required)
More Than 800 Cases of Vaping-Linked Illness Reported in 46 States
THURSDAY, Sept. 26, 2019 (HealthDay News) -- The number of confirmed or suspected severe lung illnesses linked to vaping has now climbed to 805 cases across 46 states and the Virgin Islands, U.S. health officials reported Thursday.
More Information
Deep Learning Models Classify Disease From Medical Imaging
THURSDAY, Sept. 26, 2019 (HealthDay News) -- Early evidence suggests that diagnostic performance of deep learning models is equivalent to that of health care professionals for interpreting medical imaging, according to a study published online Sept. 25 in The Lancet Digital Health.
Abstract/Full Text
Editorial
Racial/Ethnic Disparities in Mortality Persist in the U.S.
WEDNESDAY, Sept. 25, 2019 (HealthDay News) -- There are still racial and ethnic disparities in mortality, and these disparities are widening for some age groups, according to a study published online Sept. 24 in the American Journal of Preventive Medicine.
Abstract/Full Text
Vaping-Related Death in Kansas Brings National Total to Nine
TUESDAY, Sept. 24, 2019 (HealthDay News) -- A 50-year-old man has become the second patient in Kansas to die from lung damage tied to electronic cigarette use. That brings the national total of deaths from this illness to nine, CNN reported.
CNN Article
More Information: CDC
Girls Take Longer to Recover From Concussion Than Boys
TUESDAY, Sept. 24, 2019 (HealthDay News) -- Young female athletes take longer than young male athletes to recover from sports-related concussion (SRC), according to research published in the September issue of the Clinical Journal of Sport Medicine.
Abstract/Full Text (subscription or payment may be required)
Protected Health Info Breaches Compromise Sensitive Data
MONDAY, Sept. 23, 2019 (HealthDay News) -- Most protected health information (PHI) breaches compromise sensitive demographic and/or financial information, according to a research letter published online Sept. 23 in the Annals of Internal Medicine.
Abstract/Full Text (subscription or payment may be required)
Emergency Departments Need to Up HIV Testing, Linkage to Care
MONDAY, Sept. 23, 2019 (HealthDay News) -- HIV testing in South African emergency departments shows a high prevalence and incidence of HIV, as well as significant attrition along the HIV care cascade for HIV-positive individuals, according to a study published online Aug. 18 in EClinicalMedicine.
Abstract/Full Text
Vaping-Linked Lung Illness Claims Eighth Life
FRIDAY, Sept. 20, 2019 (HealthDay News) -- A Missouri man in his 40s is the eighth person in the United States to die from complications of a lung injury tied to using electronic cigarettes, the Missouri Department of Health and Senior Services reported.
More Information
Cardiovascular Disease Risk Underestimated in Patients With Mental Illness
THURSDAY, Sept. 19, 2019 (HealthDay News) -- Cardiovascular disease (CVD) risk assessment tools that do not include severe mental illness as a predictor could be substantially underestimating CVD risk, according to a study published online Sept. 18 in PLOS ONE.
Abstract/Full Text (subscription or payment may be required)
CDC: Cases of Vaping-Linked Lung Illness Rise to 530 Across 38 States
THURSDAY, Sept. 19, 2019 (HealthDay News) -- The number of confirmed or suspected severe lung illnesses linked to vaping has risen to 530 cases across 38 states and the Virgin Islands, U.S. health officials reported Thursday.
More Information
Many Hospitals, Practices Not Screening for Social Needs
THURSDAY, Sept. 19, 2019 (HealthDay News) -- Most hospitals and physician practices are not screening for five key social needs associated with health outcomes, according to a study published online Sept. 18 in JAMA Network Open.
Abstract/Full Text
Editorial
Few Trauma Patients Assessed for Effects of PTSD, Acute Stress
THURSDAY, Sept. 19, 2019 (HealthDay News) -- Few trauma patients are assessed for or educated about the potential effects of posttraumatic stress disorder (PTSD) or acute stress disorder (ASD), according to a study published in the September/October issue of the Journal of Trauma Nursing.
Abstract/Full Text
Medical Students Not Ready to Provide Nutritional Care
THURSDAY, Sept. 19, 2019 (HealthDay News) -- Medical education does not equip students to provide high-quality, effective nutrition care, according to a review published in the September issue of The Lancet Planetary Health.
Abstract/Full Text
Editorial
12.6 Million in U.S. Could Benefit From Tx to Prevent Active TB
WEDNESDAY, Sept. 18, 2019 (HealthDay News) -- An estimated 12.6 million persons in the United States could benefit from treatment to prevent active tuberculosis (TB), according to a report published in the October issue of Emerging Infectious Diseases, a publication of the U.S. Centers for Disease Control and Prevention.
Abstract/Full Text
Nonphysician Providers Rarely Interpret Diagnostic Images
WEDNESDAY, Sept. 18, 2019 (HealthDay News) -- Despite increasing roles of nonphysician providers (NPPs) in health care (nurse practitioners and physician assistants), they still rarely interpret diagnostic imaging studies, according to a study published online Sept. 11 in the American Journal of Roentgenology.
Abstract/Full Text (subscription or payment may be required)
Pharmacist in ED Cuts Time to Tx to Reverse Anticoagulation
WEDNESDAY, Sept. 18, 2019 (HealthDay News) -- Having a pharmacist in the emergency department significantly shortens the time to administration of treatment to reverse anticoagulation in patients with life-threatening bleeds or the need for urgent procedures, according to a study published online Aug. 22 in the Journal of Emergency Medicine.
Abstract/Full Text (subscription or payment may be required)
Pharmaceutical Treatments for Opioid Abuse May Benefit Teens
TUESDAY, Sept. 17, 2019 (HealthDay News) -- Teens who misuse prescription or illicit opioids might benefit from the opioid treatment medications methadone, buprenorphine, and naltrexone, according to a review published online Sept. 10 in the Journal of Studies on Alcohol and Drugs.
Abstract/Full Text
Commentary 1
Commentary 2
Vaping-Linked Lung Illness Claims Seventh Victim
TUESDAY, Sept. 17, 2019 (HealthDay News) -- A 40-year-old California man is the seventh person to die from a severe respiratory illness brought on by using electronic cigarettes.
Tulare County Health & Human Services Agency
Kansas Department of Health and Environment
More Information: CDC
Initiating Empirical Tx for Sepsis Reduces Blood Culture Sensitivity
TUESDAY, Sept. 17, 2019 (HealthDay News) -- When empirical antimicrobial therapy is initiated in patients with severe manifestations of sepsis, the sensitivity of blood cultures drawn shortly after treatment initiation is reduced, according to a study published online Sept. 17 in the Annals of Internal Medicine.
Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)
Optimized AED Placement Might Improve Cardiac Arrest Outcomes
MONDAY, Sept. 16, 2019 (HealthDay News) -- Optimized placement of automated external defibrillators (AEDs) could increase out-of-hospital cardiac arrest (OHCA) coverage over real AED placements, according to an in silico study published in the Sept. 24 issue of the Journal of the American College of Cardiology.
Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)
No New U.S. Measles Cases Reported Last Week
MONDAY, Sept. 16, 2019 (HealthDay News) -- The measles outbreak that has spread throughout the United States may be winding down as no new cases were reported last week, health officials said Monday.
AP News Article
More Information: CDC
Continued Use Low Three Months After ED Opioid Rx for Acute Pain
MONDAY, Sept. 16, 2019 (HealthDay News) -- Opioid use at three months after an emergency department visit where opioids were prescribed for acute pain is relatively low and not necessarily tied to opioid misuse, according to a study published in the August issue of Academic Emergency Medicine.
Abstract/Full Text
ED Openings, Closures May Affect Tx, Outcomes for Acute MI
MONDAY, Sept. 16, 2019 (HealthDay News) -- High-occupancy hospitals may be sensitive to openings and closures in neighboring emergency departments, according to a study published in the September issue of Health Affairs.
Abstract/Full Text (subscription or payment may be required)
FDA to Assess First Drug Meant to Prevent Peanut Allergy
FRIDAY, Sept. 13, 2019 (HealthDay News) -- A panel of experts at the U.S. Food and Drug Administration is set to weigh the pros and cons of what could be the first drug ever approved to prevent peanut allergy.
The Washington Post Article
CDC Revises Number of Vaping-Linked Lung Illnesses to 380
FRIDAY, Sept. 13, 2019 (HealthDay News) -- U.S. health officials have revised downward the number of cases of severe lung injury linked to vaping, from more than 450 cases cited last week to the total of 380 cases announced late Thursday.
More Information
Suicide Rates Increasing for Male, Female Youths in U.S.
FRIDAY, Sept. 13, 2019 (HealthDay News) -- Suicide mortality rates increased from 1999 to 2017 among both male and female youths, according to a study published online Sept. 13 in JAMA Network Open.
Abstract/Full Text
Helmets Are Underutilized by Cyclists in the United States
FRIDAY, Sept. 13, 2019 (HealthDay News) -- From 2002 to 2012, only 22 percent of bicyclists with head/neck injury in the United States wore helmets, according to a study published online Sept. 13 in Brain Injury.
Abstract/Full Text (subscription or payment may be required)
Women With Heart Attack Do Present With Typical Symptoms
FRIDAY, Sept. 13, 2019 (HealthDay News) -- Typical symptoms of myocardial infarction are more common and have greater predictive value in women than in men, according to a study published in the Sept. 3 issue of the Journal of the American Heart Association.
Abstract/Full Text
VA May Have to Pay Billions for Veterans' Emergency Care Claims
THURSDAY, Sept. 12, 2019 (HealthDay News) -- U.S. veterans could receive billions of dollars in denied claims for out-of-pocket emergency care costs at non-VA facilities after a federal court ruled that the Department of Veterans Affairs improperly denied the claims.
AP News Article
HIV Infection May Raise Risk for Atrial Fibrillation
THURSDAY, Sept. 12, 2019 (HealthDay News) -- HIV infection is independently associated with an increased risk for atrial fibrillation (AF), according to a research letter published in the Sept. 17 issue of the Journal of the American College of Cardiology.
Abstract/Full Text (subscription or payment may be required)
EPA to Phase Out Chemical Testing on Mammals
WEDNESDAY, Sept. 11, 2019 (HealthDay News) -- The eventual elimination of chemical testing on mammals was announced Tuesday by the U.S. Environmental Protection Agency.
The New York Times Article
More Information: EPA
Risk for Long-Term Opioid Use Up in Hidradenitis Suppurativa
WEDNESDAY, Sept. 11, 2019 (HealthDay News) -- Patients with hidradenitis suppurativa (HS) have an increased risk for long-term opioid use, according to a study published online Sept. 11 in JAMA Dermatology.
Abstract/Full Text (subscription or payment may be required)
Mild Cognitive Impairment Incidence Higher for WTC Responders
WEDNESDAY, Sept. 11, 2019 (HealthDay News) -- The incidence of mild cognitive impairment (MCI) is increased in World Trade Center (WTC) responders, according to a study published online Sept. 6 in Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring.
Abstract/Full Text
President Pushing for Nationwide Ban on Flavored E-Cigarettes
WEDNESDAY, Sept. 11, 2019 (HealthDay News) -- As concern grows over hundreds of lung illnesses tied to vaping, the Trump administration on Wednesday said it would move to ban flavored versions of electronic cigarettes.
The New York Times Article
New Tool Measures Patients' Perceptions of Stroke Care
WEDNESDAY, Sept. 11, 2019 (HealthDay News) -- The STROKE Perception Report is a valid and reliable measure of patients' and family surrogates' perceptions of the quality of acute stroke hospital services, according to a study published in the October issue of the Journal of Neuroscience Nursing.
Abstract/Full Text
AMA: Do Not Use Electronic Cigarettes
TUESDAY, Sept. 10, 2019 (HealthDay News) -- Americans should not use electronic cigarettes while health officials investigate cases of severe lung illness that may be linked to the devices, according to a statement issued by Patrice A. Harris, M.D., president of the American Medical Association.
AMA Statement
NBC News Article
Poverty Rate Drops, but Fewer Americans Have Health Insurance
TUESDAY, Sept. 10, 2019 (HealthDay News) -- The percentage of Americans living in poverty declined in 2018, but the rate of those without health insurance increased, according to a U.S. Census Bureau report.
The New York Times Article
More Information
Gun Owners, Nonowners Support Strengthening U.S. Gun Laws
TUESDAY, Sept. 10, 2019 (HealthDay News) -- Most gun owners and individuals who do not own guns support measures to strengthen U.S. gun laws, according to a report published online Sept. 9 in Health Affairs.
Abstract/Full Text (subscription or payment may be required)
Studies Look at E-Cigarette Use Linked to Pulmonary Illness
MONDAY, Sept. 9, 2019 (HealthDay News) -- Electronic cigarette use has been associated with severe pulmonary illness, according to three studies published online Sept. 6 in the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report and the New England Journal of Medicine.
Abstract/Full Text - Schier
Abstract/Full Text - Davidson
Abstract/Full Text - Layden
Editorial
Racial/Ethnic Variation Found in ED Destination of EMS Transport
MONDAY, Sept. 9, 2019 (HealthDay News) -- There is racial/ethnic variation in the emergency department destination for patients using emergency medical services (EMS) transport, according to a study published online Sept. 6 in JAMA Network Open.
Abstract/Full Text
Hearing Aid Use Tied to Lower Risk for Dementia, Depression, Falls
FRIDAY, Sept. 6, 2019 (HealthDay News) -- Use of hearing aids is associated with lower risks for being diagnosed with Alzheimer disease, dementia, depression, anxiety, and injurious falls among elderly adults diagnosed with hearing loss, according to a study published online Sept. 5 in the Journal of the American Geriatrics Society.
Abstract/Full Text (subscription or payment may be required)
1999 to 2016 Saw Increase in Suicide Rates Across the U.S.
FRIDAY, Sept. 6, 2019 (HealthDay News) -- Suicide rates increased from 1999 to 2016 in the United States, with the rates increasing most rapidly in rural areas, according to a study published online Sept. 6 in JAMA Network Open.
Abstract/Full Text
Racial, Ethnic Underrepresentation Found in Med School Matriculants
FRIDAY, Sept. 6, 2019 (HealthDay News) -- Among medical school matriculants, black, Hispanic, and American Indian or Alaska Native (AIAN) students are underrepresented, according to a study published online Sept. 4 in JAMA Network Open.
Abstract/Full Text
Editorial
Majority of U.S. Doctors Believe ACA Has Improved Access to Care
THURSDAY, Sept. 5, 2019 (HealthDay News) -- Sixty percent of U.S. physicians believe that the Affordable Care Act (ACA) has improved access to care and insurance after five years of implementation, according to a report published in the September issue of Health Affairs.
Abstract/Full Text (subscription or payment may be required)
Health Officials Close in on Culprit in Vaping Lung Injury Cases
THURSDAY, Sept. 5, 2019 (HealthDay News) -- Lab tests have found a chemical derived from vitamin E in samples of vaping products that have sickened people in 25 states.
The Washington Post Article
Second Possible Death Reported in U.S. From Vaping-Related Lung Illness
WEDNESDAY, Sept. 4, 2019 (HealthDay News) -- A second death in the United States from severe respiratory illness possibly associated with vaping is being investigated by health officials.
CNN Article
The Washington Post Article
Poll: Not All Older Adults Prepared for Emergency Situations
WEDNESDAY, Sept. 4, 2019 (HealthDay News) -- Many older adults have not taken adequate steps to prepare for emergency situations, according to a report published online Sept. 4 based on the University of Michigan National Poll on Healthy Aging.
More Information
Decreased Humoral Immunity to Mumps Seen in Young Adults
WEDNESDAY, Sept. 4, 2019 (HealthDay News) -- The frequency of circulating memory B cells (MBCs) specific for mumps is much lower than that of those specific for measles and rubella among healthy college-aged students who were vaccinated in childhood, according to a study published online Sept. 2 in the Proceedings of the National Academy of Sciences.
Abstract/Full Text (subscription or payment may be required)
Officials Say New York City Measles Outbreak Over
TUESDAY, Sept. 3, 2019 (HealthDay News) -- The New York City measles outbreak is over and the public health emergency that was declared on April 9 for parts of Brooklyn has ended, New York Mayor Bill de Blasio said Tuesday.
More Information
Pediatric Flu Vaccine Guidelines Updated for 2019-20 Season
TUESDAY, Sept. 3, 2019 (HealthDay News) -- In a policy statement published online Sept. 2 in Pediatrics, updated recommendations are presented regarding influenza vaccines for children, with no preference for any one product or formulation over another.
Abstract/Full Text
