July 2020 Briefing – Emergency Medicine

Here are what the editors at HealthDay consider to be the most important developments in Emergency Medicine for July 2020. This roundup includes the latest research news from journal articles, […]

Here are what the editors at HealthDay consider to be the most important developments in Emergency Medicine for July 2020. 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.

Physician’s Briefing Weekly Coronavirus Roundup

Here is what the editors at Physician’s Briefing chose as the most important COVID-19 developments for you and your practice for the week of July 27 to 31, 2020. This roundup includes the latest research news from journal studies and other trusted sources that is most likely to affect clinical practice.

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U.S. Puts Up Another $2.1 Billion for Potential COVID-19 Vaccine

FRIDAY, July 31, 2020 (HealthDay News) — The United States is buying up another potential COVID-19 vaccine, the Associated Press reported Friday.

AP News Article

Plenty of COVID-19 Vaccine Coming, Fauci Says

FRIDAY, July 31, 2020 (HealthDay News) — When a COVID-19 vaccine is approved, there should be plenty of it available, Anthony Fauci, M.D., infectious diseases chief at the U.S. National Institutes of Health, told a House panel Friday, the Associated Press reported.

AP News Article
Johns Hopkins University

Global Epidemiology of COVID-19 Reported for Prepandemic Era

FRIDAY, July 31, 2020 (HealthDay News) — Many of the first COVID-19 cases reported from affected countries outside of mainland China involved recent travel to affected countries, according to a study published online July 29 in The Lancet Infectious Diseases.

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Bacterial, Fungal Coinfection Uncommon in COVID-19 Patients

FRIDAY, July 31, 2020 (HealthDay News) — Bacterial and fungal infections are uncommon in hospitalized COVID-19 patients, but coinfection is associated with high mortality and antibiotic use is widespread, according to a study published in the July issue of Infection Control & Hospital Epidemiology.

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Sex Differences in Income Vary With Proportion of Male Doctors

FRIDAY, July 31, 2020 (HealthDay News) — For surgical and nonsurgical specialists, sex differences in income vary with the proportion of male physicians in a practice, according to a study published online July 30 in The BMJ.

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Excessive Drinking Responsible for 255 Deaths Per Day in U.S.

THURSDAY, July 30, 2020 (HealthDay News) — Excessive drinking was responsible for an average of 255 deaths per day in the United States during 2011 to 2015, according to research published in the July 31 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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School Closures Linked to Decreased COVID-19 Incidence, Death

THURSDAY, July 30, 2020 (HealthDay News) — School closures in the United States were temporally associated with decreased COVID-19 incidence and mortality, according to a study published online July 29 in the Journal of the American Medical Association.

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Editorial

Remdesivir Shortages Plague Some Hospitals, Pharmacists Say

THURSDAY, July 30, 2020 (HealthDay News) — One-third of pharmacists say they do not have enough remdesivir to treat all COVID-19 patients who are eligible for it, according to the results of a survey released by the American Society of Health-System Pharmacists (ASHP).

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Delayed Treatment of Upper Respiratory Tract Infections Tied to Hospitalization Risk

THURSDAY, July 30, 2020 (HealthDay News) — Delayed treatment of upper respiratory tract infections (URTI) with antibiotics is associated with an increased risk for hospital admissions, according to a study published online June 29 in Clinical Infectious Diseases.

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Low Health Literacy Tied to Worse Heart Failure Outcomes

WEDNESDAY, July 29, 2020 (HealthDay News) — Poor health literacy is associated with worse heart failure outcomes, according to a review published in the June issue of JACC: Heart Failure.

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Obesity in Young Adulthood Tied to Later Venous Thromboembolism

WEDNESDAY, July 29, 2020 (HealthDay News) — Men who are obese or severely obese in young adulthood have an increased risk for venous thromboembolism (VTE) later in life, according to a study published in the June issue of the Journal of Internal Medicine.

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Depression, Anxiety May Be Signs That COVID-19 Is Attacking Brain

WEDNESDAY, July 29, 2020 (HealthDay News) — Depression and anxiety exhibited in COVID-19 patients may be a sign that the virus impacts the central nervous system, as these symptoms are closely associated with a loss of smell and taste rather than more severe manifestations of the virus, according to a study published online July 2 in The Laryngoscope.

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Premature Cardiac Deaths Across U.S. Dropped From 1999 to 2017

WEDNESDAY, July 29, 2020 (HealthDay News) — The rate of premature cardiac deaths (PCDs) decreased across U.S. counties from 1999 to 2017, although widening geographic disparities have been observed, according to a study published online July 29 in the Journal of the American Heart Association.

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Nearly Half of Hispanics, Blacks Scared to Go to Hospital During COVID-19

WEDNESDAY, July 29, 2020 (HealthDay News) — Hispanics and blacks are most likely to stay home if experiencing medical emergencies, like a heart attack or stroke, to avoid the risk of contracting COVID-19 at the hospital, according to a poll released by the American Heart Association (AHA).

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Latino Communities at Higher Risk for COVID-19

WEDNESDAY, July 29, 2020 (HealthDay News) — Factors linked to structural racism and social determinants of health are associated with an increased risk for COVID-19 in Latino communities, according to a study published online July 23 in the Annals of Epidemiology.

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Injury Patterns Differ for Elder Abuse Versus Unintentional Falls

TUESDAY, July 28, 2020 (HealthDay News) — Specific, clinically identifiable differences in injury patterns may exist for those presenting to the emergency department with unintentional injuries versus victims of physical elder abuse, according to a study recently published in the Annals of Emergency Medicine.

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Increase Found in Suicide-Related Exposure Rates to OTC Analgesics

TUESDAY, July 28, 2020 (HealthDay News) — There has been a recent increase in suicide-related exposure rates to over-the-counter (OTC) analgesics, according to a study published online July 26 in Pharmacoepidemiology & Drug Safety.

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FDA Warns Again About Dangers of Methanol-Based Hand Sanitizers

TUESDAY, July 28, 2020 (HealthDay News) — The U.S. Food and Drug Administration is warning consumers not to use alcohol-based hand sanitizers containing methanol, or wood alcohol, which is used in fuel and antifreeze and is toxic if absorbed through the skin or life-threatening if ingested.

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Concussion Linked to Risk for Psych, Neurologic Disorders

TUESDAY, July 28, 2020 (HealthDay News) — Concussion is associated with an increased risk for diagnosis of attention-deficit/hyperactivity disorder (ADHD), mood and anxiety disorders (MADs), dementia, and Parkinson disease, according to a study published online July 27 in Family Medicine and Community Health.

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COVID-19 Vaccine Candidate Now in Final Phase Testing

MONDAY, July 27, 2020 (HealthDay News) — A vaccine developed by the U.S. National Institutes of Health and Moderna has entered the final phase of testing, the Associated Press reported Monday.

AP News Article

CDC to Address Inequalities in COVID-19 Reporting

MONDAY, July 27, 2020 (HealthDay News) — The U.S. Centers for Disease Control and Prevention plans to take steps to improve how it collects COVID-19 data for blacks, Hispanics, and Native Americans, the Associated Press reports.

AP News Article

Large Proportion of COVID-19 Studies Have Low-Level Evidence

MONDAY, July 27, 2020 (HealthDay News) — A large proportion of studies on COVID-19 have a low level of evidence, according to a research letter published online July 27 in JAMA Internal Medicine.

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Impact on Glucocorticoids in COVID-19 Varies With CRP Levels

MONDAY, July 27, 2020 (HealthDay News) — The impact of glucocorticoid treatment on patients with COVID-19 varies according to C-reactive protein (CRP) levels, according to a study published online July 22 in the Journal of Hospital Medicine.

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FDA: Doctors Should Discuss Opioid OD Antidote With Patients

FRIDAY, July 24, 2020 (HealthDay News) — Doctors should tell patients and caregivers about the overdose antidote naloxone when they prescribe opioid painkillers such as Percocet and OxyContin and medicines to treat opioid addiction, including buprenorphine, methadone, and naltrexone, the U.S. Food and Drug Administration said Thursday.

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Physician’s Briefing Weekly Coronavirus Roundup

Here is what the editors at Physician’s Briefing chose as the most important COVID-19 developments for you and your practice for the week of July 20 to 24, 2020. This roundup includes the latest research news from journal studies and other trusted sources that is most likely to affect clinical practice.

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CDC Guidance Issued for Testing, Management of HCP Exposed to Hep C

FRIDAY, July 24, 2020 (HealthDay News) — In a U.S. Centers for Disease Control and Prevention guidance report, published in the July 24 issue of Morbidity and Mortality Weekly Report, recommendations are presented for testing and clinical management of health care personnel (HCP) exposed to the hepatitis C virus (HCV).

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Chimpanzee Adenovirus-Vectored Vaccine Promising for COVID-19

FRIDAY, July 24, 2020 (HealthDay News) — A chimpanzee adenovirus-vectored vaccine (ChAdOx1 nCoV-19) expressing the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) spike protein has acceptable safety and induces antibody and T-cell immune responses, according to a study published online July 20 in The Lancet.

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Editorial

Mental Health Deteriorated During COVID-19 Lockdown

FRIDAY, July 24, 2020 (HealthDay News) — Mental health deteriorated in the United Kingdom by the end of April 2020 compared with pre-COVID-19 pandemic trends, according to a study published online July 21 in The Lancet Psychiatry.

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Higher Legal Age for Handgun Sales Tied to Fewer Teen Suicides

FRIDAY, July 24, 2020 (HealthDay News) — Raising the age of handgun sales from 18 to 21 years may reduce deaths from suicide among 18- to 20-year-olds, according to a study published online July 22 in The BMJ.

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Editorial

Financial Health of Hospitals ‘Dire’ Due to COVID-19

THURSDAY, July 23, 2020 (HealthDay News) — COVID-19 continues to cause financial peril for U.S. hospitals, according to a report released by the American Hospital Association (AHA).

Press Release
Report

New Guidelines Released for Recovering COVID-19 Patients to Leave Isolation

THURSDAY, July 23, 2020 (HealthDay News) — Many recovering COVID-19 patients in the United States will now be able to leave isolation without further testing to show they are virus-free, the U.S. Centers for Disease Control and Prevention said Wednesday.

The New York Times Article

High Prevalence of Americans Have Conditions Linked to Severe COVID-19

THURSDAY, July 23, 2020 (HealthDay News) — The median prevalence of any underlying medical condition that increases the risk for severe COVID-19-associated illness is 47.2 percent among residents in all 50 states and the District of Columbia, according to research published in the July 24 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Three in Four Americans Favor Face Coverings: Survey

THURSDAY, July 23, 2020 (HealthDay News) — Face coverings should be worn by people when they leave home, three-quarters of Americans say in a new poll.

AP News Article

Ad5-Vectored COVID-19 Vaccine Immunogenic in Healthy Adults

THURSDAY, July 23, 2020 (HealthDay News) — The nonreplicating adenovirus type-5 (Ad5)-vectored COVID-19 vaccine appears safe and induces immune responses at a dose of 5×1010 viral particles, according to a study published online July 20 in The Lancet.

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Editorial

Most Individuals in U.S. Have Not Been Infected With SARS-CoV-2

THURSDAY, July 23, 2020 (HealthDay News) — During March to early May 2020, most individuals in the United States had not been infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), although the estimated number of infections seems to have been much higher than the number of reported cases, according to a study published online July 21 in JAMA Internal Medicine.

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Editorial

COVID-19 Creating Stress, Anxiety Among Emergency Physicians

THURSDAY, July 23, 2020 (HealthDay News) — The COVID-19 pandemic has created substantial workplace and home anxiety among academic emergency medicine physicians, according to a study published online July 21 in Academic Emergency Medicine.

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Few Dementia Caregivers Receive Firearm Safety Counseling

THURSDAY, July 23, 2020 (HealthDay News) — Few caregivers of adults with Alzheimer disease and related dementias (ADRD) receive professional counseling about firearm safety, according to a study published online July 15 in JAMA Network Open.

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Editorial

Whole-Body CTs Save Time for Trauma Patients in Emergency Dept

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