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View article: Study protocol for the design, implementation, and evaluation of the STRATIFY clinical decision support tool for emergency department disposition of patients with heart failure
Study protocol for the design, implementation, and evaluation of the STRATIFY clinical decision support tool for emergency department disposition of patients with heart failure Open
View article: 398 Delta High Sensitivity Cardiac Troponin Measures to Exclude Myocardial Infarction
398 Delta High Sensitivity Cardiac Troponin Measures to Exclude Myocardial Infarction Open
View article: Stroke prophylaxis after US emergency department diagnosis and discharge of patients with atrial fibrillation and flutter from 21 hospitals
Stroke prophylaxis after US emergency department diagnosis and discharge of patients with atrial fibrillation and flutter from 21 hospitals Open
Within a community-based ED population of AF patients at high stroke risk, rates of appropriate stroke prevention action increased over the 7-year study period. Rates of AF thromboprophylaxis may be improved by addressing sex and age dispa…
View article: A mixed-methods observational study of strategies for success in implementation science: overcoming emergency departments hurdles
A mixed-methods observational study of strategies for success in implementation science: overcoming emergency departments hurdles Open
Background Heart failure is a major public health concern, affecting 6.7 million Americans. An estimated 16% of emergency department (ED) patients with acute heart failure (AHF) are discharged home. Our Get with the Guidelines in Emergency…
View article: D-dimer Levels in Acute, Medically Ill, Hospitalized Patients: A Large, Prospective, Multicenter Study in the United States
D-dimer Levels in Acute, Medically Ill, Hospitalized Patients: A Large, Prospective, Multicenter Study in the United States Open
Background The study's main aim was to determine the prevalence of elevated D-dimer levels in adult patients hospitalized for acute medical illnesses not suspected to have venous thromboembolism (VTE). The secondary aims were to determine …
View article: Decision Support Intervention and Anticoagulation for Emergency Department Atrial Fibrillation
Decision Support Intervention and Anticoagulation for Emergency Department Atrial Fibrillation Open
Importance Oral anticoagulation for adults with atrial fibrillation or atrial flutter (AFF) who are at elevated stroke risk reduces the incidence of ischemic stroke but remains underused. Efforts to increase anticoagulation initiation on e…
View article: Issue Information
Issue Information Open
View article: Changes in Clinical Management Following 14-Day Ambulatory ECG Monitoring Following Emergency Department Evaluation for Unexplained Syncope
Changes in Clinical Management Following 14-Day Ambulatory ECG Monitoring Following Emergency Department Evaluation for Unexplained Syncope Open
View article: Association of Vitamin C, Thiamine, and Hydrocortisone Infusion With Long-term Cognitive, Psychological, and Functional Outcomes in Sepsis Survivors
Association of Vitamin C, Thiamine, and Hydrocortisone Infusion With Long-term Cognitive, Psychological, and Functional Outcomes in Sepsis Survivors Open
Importance Sepsis is associated with long-term cognitive impairment and worse psychological and functional outcomes. Potential mechanisms include intracerebral oxidative stress and inflammation, yet little is known about the effects of ear…
View article: Evaluating fomite risk of brown paper bags storing personal protective equipment exposed to SARS-CoV-2: A quasi-experimental study
Evaluating fomite risk of brown paper bags storing personal protective equipment exposed to SARS-CoV-2: A quasi-experimental study Open
Introduction Literature is lacking on the safety of storing contaminated PPE in paper bags for reuse, potentially increasing exposure to frontline healthcare workers (HCW) and patients. The aim of this study is to evaluate the effectivenes…
View article: Intermittent complete heart block with ventricular standstill after Pfizer COVID‐19 booster vaccination: A case report
Intermittent complete heart block with ventricular standstill after Pfizer COVID‐19 booster vaccination: A case report Open
As the COVID-19 pandemic continues around the globe, vaccines are undoubtedly central to the fight to control the spread of the virus. However, as with any therapy, these vaccines are not without side effects. Documented cardiac complicati…
View article: Global Oral Anticoagulation Use Varies by Region in Patients With Recent Diagnosis of Atrial Fibrillation: The GLORIA‐AF Phase III Registry
Global Oral Anticoagulation Use Varies by Region in Patients With Recent Diagnosis of Atrial Fibrillation: The GLORIA‐AF Phase III Registry Open
Background Effective stroke prevention with oral anticoagulants (OAC) is recommended for some patients with atrial fibrillation (AF). We aimed to describe OAC use by geographical region and type of site in patients with recent‐onset AF enr…
View article: Evaluating Fomite Risk of Brown Paper Bags Storing Personal Protective Equipment Exposed to SARS-CoV-2: A Quasi-Experimental Study
Evaluating Fomite Risk of Brown Paper Bags Storing Personal Protective Equipment Exposed to SARS-CoV-2: A Quasi-Experimental Study Open
Introduction Literature is lacking on the safety of storing contaminated PPE in paper bags for reuse, potentially increasing exposure to frontline healthcare workers (HCW) and patients. Objectives To evaluate the effectiveness of paper bag…
View article: Utility of COVID‐19 antigen testing in the emergency department
Utility of COVID‐19 antigen testing in the emergency department Open
View article: Assessing effective mask use by the public in two countries: an observational study
Assessing effective mask use by the public in two countries: an observational study Open
Objectives During the COVID-19 pandemic wearing a mask in public has been recommended in some settings and mandated in others. How often this advice is followed, how well, and whether it inadvertently leads to more disease transmission opp…
View article: An international survey of healthcare workers use of personal protective equipment during the early stages of the COVID‐19 pandemic
An international survey of healthcare workers use of personal protective equipment during the early stages of the COVID‐19 pandemic Open
This international survey of healthcare workers found that N95 respirators were commonly used to care for patients with respiratory symptoms with and without aerosol-generating medical procedures. Healthcare workers reported an unprecedent…
View article: Effect of Vitamin C, Thiamine, and Hydrocortisone on Ventilator- and Vasopressor-Free Days in Patients With Sepsis
Effect of Vitamin C, Thiamine, and Hydrocortisone on Ventilator- and Vasopressor-Free Days in Patients With Sepsis Open
ClinicalTrials.gov Identifier: NCT03509350.
View article: Predictors of Acute Atrial Fibrillation and Flutter Hospitalization across 7 U.S. Emergency Departments: A Prospective Study
Predictors of Acute Atrial Fibrillation and Flutter Hospitalization across 7 U.S. Emergency Departments: A Prospective Study Open
Within an integrated health system, we found significant variation in AFF hospitalization rates and identified several modifiable factors associated with hospital admission. Standardizing treatment goals that specifically address best prac…
View article: Emergency department cardioversion of acute atrial fibrillation
Emergency department cardioversion of acute atrial fibrillation Open
View article: Practice Gap in Atrial Fibrillation Oral Anticoagulation Prescribing at Emergency Department Home Discharge
Practice Gap in Atrial Fibrillation Oral Anticoagulation Prescribing at Emergency Department Home Discharge Open
The majority of OAC-eligible patients were discharged home without an OAC prescription. In OAC-naive patients discharged home from the ED, cardiology consultation and female gender were associated with OAC prescription. Our findings sugges…
View article: In reply: Is it time to initiate venous thromobolism prophylaxis for acute and ambulatory outpatients with lower limb immobilisation?
In reply: Is it time to initiate venous thromobolism prophylaxis for acute and ambulatory outpatients with lower limb immobilisation? Open
Dear Editor in Chief,
We read with great interest Horner and colleagues’ recent practice review regarding thromboprophylaxis for isolated lower extremity injury.1 The insight gained from this article, in addition to other recent large rev…
View article: A neighborhood analysis of Twitter communication in emergency medicine
A neighborhood analysis of Twitter communication in emergency medicine Open
View article: 96 Appropriate Stroke Prophylaxis Action After US Emergency Department Diagnosis and Discharge of Atrial Fibrillation and Flutter Patients
96 Appropriate Stroke Prophylaxis Action After US Emergency Department Diagnosis and Discharge of Atrial Fibrillation and Flutter Patients Open
View article: Peripartum Cardiomyopathy: a Review
Peripartum Cardiomyopathy: a Review Open
View article: Recognising Bias in Studies of Diagnostic Tests Part 1: Patient Selection
Recognising Bias in Studies of Diagnostic Tests Part 1: Patient Selection Open
In this two-part series on sources of bias in studies of diagnostic test performance, we outline common errors and optimal conditions during three study phases: patient selection, interpretation of the index test and disease verification b…
View article: Recognising bias in studies of diagnostic tests part 2: interpreting and verifying the index test
Recognising bias in studies of diagnostic tests part 2: interpreting and verifying the index test Open
Multiple pitfalls can occur with the conduct and analysis of a study of diagnostic tests, resulting in biased accuracy. Our conceptual model includes three stages: patient selection, interpretation of the index test and disease verificatio…
View article: Stroke Prophylaxis for Atrial Fibrillation? To Prescribe or Not to Prescribe—A Qualitative Study on the Decisionmaking Process of Emergency Department Providers
Stroke Prophylaxis for Atrial Fibrillation? To Prescribe or Not to Prescribe—A Qualitative Study on the Decisionmaking Process of Emergency Department Providers Open
View article: 73 Formulary Inclusion of Dabigatran Increases Initiation of Atrial Fibrillation Thromboprophylaxis at Emergency Department Discharge
73 Formulary Inclusion of Dabigatran Increases Initiation of Atrial Fibrillation Thromboprophylaxis at Emergency Department Discharge Open
View article: 82 The Impact of Stroke Prophylaxis on Clinical Outcomes After US Emergency Department Diagnosis and Discharge for Atrial Fibrillation
82 The Impact of Stroke Prophylaxis on Clinical Outcomes After US Emergency Department Diagnosis and Discharge for Atrial Fibrillation Open
View article: Enlisting Emergency Medicine Clinicians to Help Reduce Strokes in High‐Risk Patients With Atrial Fibrillation and Flutter
Enlisting Emergency Medicine Clinicians to Help Reduce Strokes in High‐Risk Patients With Atrial Fibrillation and Flutter Open
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