ACEP News, October 2009

October 2009 ACEP News in full digital format
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Bone wax, a combination of beeswax and isopropyl, is one of the nontraditional topical hemostatic agents Dr. Daniel Berg keeps on hand.  As chief of dermatologic surgery at the University of Washington, Seattle, Dr. Berg has used it twice to tamponade bleeding of a bone: once on the skull and once in the nasal region.

Sudden infant death syndrome (SIDS) is the most common cause of mortality for babies between 1 and 12 months of life. Trying to identify which infants presenting with apparent life threatening events (ALTE) may go on to experience this horrible outcome is a challenge for the emergency physician.

Warnings about severe skin reactions associated with the antiretroviral drug etravirine are being strengthened to include reports of hypersensitivity reactions and fatal cases of toxic epidermolysis necrolysis associated with the drug, says a notice posted on the Food and Drug Administration's MedWatch site.

Three potentially lethal yet treatable bacterial infections often produce a petechial rash: Staphylococcus aureus sepsis, meningococcal disease, and Rocky Mountain spotted fever, Dr. Samuel R. Dominguez noted at a conference on pediatric infectious diseases sponsored by the Children's Hospital, Denver.

Drug rash with eosinophilia and systemic symptoms, or DRESS, needs to be included in the differential diagnosis when a patient presents with fever and a rash 1-8 weeks after starting a drug, according to Heather R. Heizer.

Emergency department abdominal CT scans can be done markedly faster and with no loss of accuracy by using intravenous contrast only rather than more conventional IV plus oral contrast, according to two studies presented at the annual meeting of the Society for Academic Emergency Medicine.

Medical imaging exposes a significant portion of patients to various doses of ionizing radiation, and in some cases, to substantial doses, potentially increasing the associated risk of cancer, according to findings of a retrospective cohort study published in the Aug. 27 issue of the New England Journal of Medicine.

The National Institutes of Health will require new CT and PET equipment purchased by the agency's clinical center to routinely record the patient's radiation dose in their hospital-based electronic medical record.

One of the major diagnostic challenges in community-acquired Clostridium difficile-associated disease is that it can present without diarrhea or a history of recent antibiotic use--and with symptoms closely mimicking acute appendicitis.

These days, house calls often are seen as a luxury available only to the wealthy and privileged. But Dr. Jeffrey Katz is looking to bring back house calls for the poorest and sickest patients.

About one in six surveyed public health workers said they would not report to work in the event of an influenza pandemic emergency, according to an online survey of more than 1,800 public health employees in Minnesota, Ohio, and West Virginia.

Beth Israel Medical Center has begun to view the bounce-back phenomenon of its 'frequent flier' patients as an opportunity to decrease patient symptoms and address unmet palliative care needs.

Nearly 20% of Medicare patients who are admitted to the hospital after an acute myocardial infarction will be readmitted within 30 days, according to historical data released by the Centers for Medicare and Medicaid Services.

The program provides an opportunity to recognize all members for significant professional contributions as well as service to the College. All members of ACEP are eligible to participate in one or more of the College's award programs.

Serving as the executive director for the American College of Emergency Physicians, Mr. Wilkerson debuted at an impressive number 37 on Modern Healthcare magazine's annual "100 Most Powerful People in Healthcare" list.

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