Here are what the editors at HealthDay consider to be the most important developments in Emergency Medicine for August 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.
FDA Could Green-Light COVID-19 Vaccines Before Clinical Trials Completed
MONDAY, Aug. 31, 2020 (HealthDay News) — Emergency use authorization (EUA) or approval for a COVID-19 vaccine before phase 3 clinical trials are complete could be considered by the U.S. Food and Drug Administration, according to the agency’s commissioner, Stephen Hahn, M.D.
Community-Level Factors Explain Some Racial Disparities in COVID-19
MONDAY, Aug. 31, 2020 (HealthDay News) — Community-level factors explain some, but not all, racial and ethnic disparities in COVID-19 rates in Massachusetts, according to a report published online Aug. 27 in Health Affairs.
Use of Performance-Enhancing Substances Tied to Risk Behaviors
MONDAY, Aug. 31, 2020 (HealthDay News) — Use of legal performance-enhancing substances (PES) in young adults is associated with an increased likelihood of future problematic alcohol use and drinking-related risk behaviors, according to a study published online Aug. 31 in Pediatrics.
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Pandemic May Have Delayed Type 1 Diabetes Diagnoses
MONDAY, Aug. 31, 2020 (HealthDay News) — Many children may have delayed diagnosis of type 1 diabetes during the COVID-19 pandemic, according to a study published online Aug. 10 in Diabetes Care.
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Salmonella Outbreak Linked to Peaches Has Now Sickened 78 People
FRIDAY, Aug. 28, 2020 (HealthDay News) — A Salmonella outbreak linked to recalled peaches from Prima Wawona and Wawona Packing Co. LLC has now sickened 78 people in 12 states, the U.S. Centers for Disease Control and Prevention said in an update Thursday. It said that 23 people have been hospitalized, but no deaths have been reported.
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 Aug. 24 to 28, 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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FDA Warns of Hand Sanitizers in Food-Like Packaging
FRIDAY, Aug. 28, 2020 (HealthDay News) — A warning about alcohol-based hand sanitizers in packaging that looks like food or drink has been issued by the U.S. Food and Drug Administration.
Model Says COVID-19 Deaths Could Surpass 317,000 by December
FRIDAY, Aug. 28, 2020 (HealthDay News) — A widely cited model for COVID-19 deaths in the United States predicts a total of 317,000 deaths by December.
Early Use of Empiric Antibacterial Therapy Common in COVID-19
FRIDAY, Aug. 28, 2020 (HealthDay News) — Early empiric antibacterial therapy use is high in patients hospitalized with COVID-19, according to a study published online Aug. 21 in Clinical Infectious Diseases.
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Mortality, Intubation Rates Lower With Anticoagulation in COVID-19
FRIDAY, Aug. 28, 2020 (HealthDay News) — Among hospitalized patients with COVID-19, anticoagulation (AC) is associated with reduced mortality and intubation, according to a study published online Aug. 26 in the Journal of the American College of Cardiology.
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Low Rates of Severe Disease, Death Reported for Children With COVID-19
FRIDAY, Aug. 28, 2020 (HealthDay News) — Severe disease and death appear to be rare among children and young people hospitalized with laboratory-confirmed COVID-19, according to an observational study in the United Kingdom published online Aug. 27 in The BMJ.
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COVID-19 Infection May Initially Present as Acute Pancreatitis
FRIDAY, Aug. 28, 2020 (HealthDay News) — Acute pancreatitis may be a gastrointestinal manifestation of COVID-19, according to research published online Aug. 26 in Gastroenterology.
Maine Summer Camps Identified, Isolated COVID-19 Cases
THURSDAY, Aug. 27, 2020 (HealthDay News) — Three COVID-19-positive people with no symptoms were successfully identified and isolated at four overnight camps in Maine, according to research published in the Aug. 26 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
Admissions for Stroke, TIA Down Early in COVID-19 Pandemic
THURSDAY, Aug. 27, 2020 (HealthDay News) — Admissions for stroke and transient ischemic attack (TIA) have decreased during the COVID-19 pandemic, according to a study published online Aug. 26 in Stroke and Vascular Neurology.
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Metabolic Syndrome Linked to Worse Outcomes in COVID-19
THURSDAY, Aug. 27, 2020 (HealthDay News) — Metabolic syndrome (MetS) is associated with a lethal outcome for patients with COVID-19, according to a study published online Aug. 25 in Diabetes Care.
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U.S. Nursing Home Staff Must Be Tested Regularly for COVID-19
WEDNESDAY, Aug. 26, 2020 (HealthDay News) — Nursing home staff will have to be tested regularly for COVID-19, and facilities that fail to do so will face fines, the Trump administration said Tuesday.
Changes to CDC COVID-19 Testing Guidelines Trigger Concern
WEDNESDAY, Aug. 26, 2020 (HealthDay News) — Experts are alarmed about revised U.S. Centers for Disease Control and Prevention guidelines advising that people who do not have symptoms of COVID-19 do not need to be tested, even if they have recently been exposed to the new coronavirus.
About Half of Waivered Clinicians Prescribe Buprenorphine for OUD
WEDNESDAY, Aug. 26, 2020 (HealthDay News) — About half of waivered clinicians prescribe buprenorphine for opioid use disorder and most treat at levels below their patient limits, according to a research letter published online Aug. 24 in JAMA Network Open.
Increase in Hospital Bed Use Tied to COVID-19 Deaths in Seven Days
WEDNESDAY, Aug. 26, 2020 (HealthDay News) — Intensive care unit (ICU) and non-ICU bed use as a percentage of a state’s hospital bed capacity is significantly associated with an increase in overall COVID-19 deaths during the next seven days, according to a study published online Aug. 19 in the Journal of General Internal Medicine.
Nurse Understaffing Common in Hospitals Prior to COVID-19
TUESDAY, Aug. 25, 2020 (HealthDay News) — Many hospital nurses in Illinois and New York were burned out and working in understaffed conditions immediately prior to the first wave of COVID-19 patients, according to a study published online Aug. 18 in BMJ Quality & Safety.
Prevalence of SARS-CoV-2 in Asymptomatic Children Identified
TUESDAY, Aug. 25, 2020 (HealthDay News) — The pooled prevalence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV02) in asymptomatic children is 0.65 percent and is significantly associated with the incidence of COVID-19 in the general population, according to a research letter published online Aug. 25 in JAMA Pediatrics.
CPR Preferences Explored for Patients Receiving Dialysis
TUESDAY, Aug. 25, 2020 (HealthDay News) — Among patients receiving dialysis, cardiopulmonary resuscitation (CPR) preferences are associated with some aspects of end-of-life care, according to a study published online Aug. 24 in JAMA Network Open.
Return to Hospital Infrequent After COVID-19 Admission
TUESDAY, Aug. 25, 2020 (HealthDay News) — Return to hospital after discharge for inpatients with COVID-19 is infrequent, according to a study published online Aug. 19 in the Journal of General Internal Medicine.
Health, Economic Factors Tied to Outcomes of Emergency Surgery
TUESDAY, Aug. 25, 2020 (HealthDay News) — Increased levels of comorbidity and socioeconomic deprivation are associated with mortality, discharge destination, and length of hospital stay (LOS) following admission for emergency general surgery (EGS), according to a study published online Aug. 24 in Trauma Surgery & Acute Care Open.
Web Searches Suggesting Acute Anxiety Spiked Early in COVID-19
TUESDAY, Aug. 25, 2020 (HealthDay News) — Internet searches indicative of acute anxiety peaked early in the COVID-19 pandemic, according to a research letter published online Aug. 24 in JAMA Internal Medicine.
Heart Events Observed for ~12 Percent of Adults Hospitalized With Flu
TUESDAY, Aug. 25, 2020 (HealthDay News) — Among adults hospitalized with laboratory-confirmed influenza, 11.7 percent have an acute cardiovascular event, according to a study published online Aug. 25 in the Annals of Internal Medicine.
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Pop Concert Held to Learn More About COVID-19 Spread
MONDAY, Aug. 24, 2020 (HealthDay News) — About 1,500 people attended a pop concert in Germany to help researchers learn how the new coronavirus spreads in such situations.
World’s First Confirmed Case of COVID-19 Reinfection Reported in Hong Kong
MONDAY, Aug. 24, 2020 (HealthDay News) — The world’s first confirmed case of reinfection with the new coronavirus has been reported in Hong Kong.
Widespread Mask Use Could Save 70,000 U.S. Lives by Dec. 1
MONDAY, Aug. 24, 2020 (HealthDay News) — There could be another 134,000 COVID-19 deaths in the United States by Dec. 1 if no new prevention measures are introduced, and the number of deaths could be much higher if rules are relaxed, researchers report. However, they also said that 70,000 lives could be saved if more people wore masks, CNN reported.
Shortage of Emergency Physicians Growing in Rural Areas
MONDAY, Aug. 24, 2020 (HealthDay News) — Large areas of rural America are experiencing shortages of emergency physicians, according to a study published online July 31 in the Annals of Emergency Medicine.
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Clinical Impact of Remdesivir in Moderate COVID-19 Unclear
MONDAY, Aug. 24, 2020 (HealthDay News) — Patients with moderate COVID-19 receiving a five-day course of remdesivir have a statistically significant difference in clinical status compared with usual care, according to a study published online Aug. 21 in the Journal of the American Medical Association.
School-Located Influenza Vaccine Intervention Beneficial
MONDAY, Aug. 24, 2020 (HealthDay News) — A school-located influenza vaccination (SLIV) intervention is associated with a reduction in the incidence of influenza hospitalization, according to a study published online Aug. 18 in PLOS Medicine.
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 Aug. 17 to 21, 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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White House Blocks FDA’s Power to Regulate Lab Tests
FRIDAY, Aug. 21, 2020 (HealthDay News) — The Trump administration has blocked the U.S. Food and Drug Administration from regulating a wide swath of laboratory tests, including ones for COVID-19.
Extract From Deadly Plant Touted as COVID-19 Cure
FRIDAY, Aug. 21, 2020 (HealthDay News) — Experts have slammed claims by a major Trump donor that an extract from a deadly plant is a cure for COVID-19.
Incidence of COVID-19 Up for American Indians, Alaska Natives
THURSDAY, Aug. 20, 2020 (HealthDay News) — The overall incidence of COVID-19 is increased among American Indian and Alaska Native (AI/AN) persons in the United States, according to research published in the Aug. 19 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
Wawona Bagged Peaches Linked to Salmonella Outbreak
THURSDAY, Aug. 20, 2020 (HealthDay News) — A Salmonella outbreak that has sickened 68 people in nine states may be linked to Wawona-brand bagged peaches sold at ALDI stores, the U.S. Food and Drug Administration said Wednesday.
SARS-CoV-2 Nasopharyngeal Load Higher in Children Than Adults
THURSDAY, Aug. 20, 2020 (HealthDay News) — Children with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection have the highest nasopharyngeal viral load in the first two days of symptoms, according to a study published online Aug. 20 in The Journal of Pediatrics.
Disparities Seen in COVID-19 Hospitalizations in Racial/Ethnic Subgroups
THURSDAY, Aug. 20, 2020 (HealthDay News) — There are considerable disparities in the prevalence of COVID-19 across racial/ethnic subgroups in the United States, according to a research letter published online Aug. 17 in JAMA Internal Medicine.
CDC: Recalled Onions Linked to 869 Salmonella Cases in 47 States
WEDNESDAY, Aug. 19, 2020 (HealthDay News) — Recalled onions have been linked to a Salmonella outbreak that has caused 869 illnesses in 47 states, according to an update late Tuesday by the U.S. Centers for Disease Control and Prevention.
Disparities Seen in COVID-19 Hot Spots for Racial, Ethnic Minority Groups
Withdrawal From Medetomidine Increasingly Seen in ICUs 
Multicomponent Interventions Offer Little Impact on Fall Risk 
ED Visits for Gambling Disorder Spike After Canada Liberalizes Online Gambling 
Nearly 2 in 3 Poison Exposures in Young Children May Not Need the ED 
About 1 in 20 Hospitalized U.S. Adults With Firearm Injuries Develop Bacterial Infections 
Unintentional Ingestion of Recreational Drugs Increased, Especially Since 2013 
Emergency Diagnosis Linked to Worse Outcomes for Range of Conditions 
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