Here are what the editors at HealthDay consider to be the most important developments in Emergency Medicine for June 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.
U.S. Could See 100,000 New Cases of COVID-19 Each Day, Fauci Says
TUESDAY, June 30, 2020 (HealthDay News) — Top U.S. infectious disease expert Anthony Fauci, M.D., warned Congress on Tuesday that COVID-19 infections could climb to 100,000 new cases daily unless ongoing outbreaks are contained.
Heart Rhythm Disorders Seen in Critically Ill COVID-19 Patients
TUESDAY, June 30, 2020 (HealthDay News) — Critically ill patients with COVID-19 are more likely to develop heart rhythm disorders than other hospitalized patients, according to a study published online June 22 in Heart Rhythm.
Mild Fever, Little Respiratory Illness Seen With COVID-19-Positive Infants
TUESDAY, June 30, 2020 (HealthDay News) — Babies with COVID-19 generally have mild illness, with mostly fever, according to a brief report published online June 17 in The Journal of Pediatrics.
Latinos Have High Rate of Positivity for SARS-CoV-2
TUESDAY, June 30, 2020 (HealthDay News) — The rate of positivity for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is over 40 percent for Latinos in the Baltimore-Washington D.C. region, according to a research letter published online June 18 in the Journal of the American Medical Association.
COVID-19 Drug Remdesivir Could Cost Up to $3,120 Per Patient
MONDAY, June 29, 2020 (HealthDay News) — Gilead Sciences, the maker of remdesivir, the first drug that showed promise in treating COVID-19 infections, will charge U.S. hospitals $3,120 for a patient with private insurance, the company announced Monday.
Intestinal Illness Spurs Recall of Bagged Salads Sold at Walmart, Aldi
MONDAY, June 29, 2020 (HealthDay News) — Bagged salad mixes sold at Walmart and other stores are linked with an outbreak of Cyclospora infections in eight Midwestern states, the U.S. Centers for Disease Control and Prevention reports.
Many Practice Unsafe Household Cleaning Against COVID-19
MONDAY, June 29, 2020 (HealthDay News) — More than one-third of U.S. adults admit to unsafe cleaning practices in the hopes of disinfecting against COVID-19, according to research published in the June 12 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
CDC: U.S. COVID-19 Rates Much Higher Than Reported
MONDAY, June 29, 2020 (HealthDay News) — Actual COVID-19 infection rates in many areas of the United States are more than 10 times higher than reported rates, a U.S. Centers for Disease Control and Prevention study suggests.
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NY Health Care Workers Report Distress Related to COVID-19 Care
MONDAY, June 29, 2020 (HealthDay News) — Many New York City health care workers are experiencing COVID-19-related psychological distress, especially nurses and advanced practice providers, according to a study published in the upcoming September-October issue of General Hospital Psychiatry.
Altered Mental Status Not Uncommon in Severe COVID-19
MONDAY, June 29, 2020 (HealthDay News) — Altered mental status is the second most common neurological presentation for patients with COVID-19, according to a study published online June 25 in The Lancet Psychiatry.
Factors Linked to Severe COVID-19 in Children Identified
MONDAY, June 29, 2020 (HealthDay News) — COVID-19 generally causes mild disease in children, with 8 percent of children requiring intensive care unit (ICU) admission, according to a study published online June 25 in The Lancet Child & Adolescent Health.
Antibody Tests ID COVID-19 Two to Three Weeks After Symptoms
MONDAY, June 29, 2020 (HealthDay News) — Antibody testing may detect severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, with sensitivity peaking at three weeks since symptom onset, according to a review published online June 25 in the Cochrane Library.
Trump Administration Asks Supreme Court to Overturn Affordable Care Act
FRIDAY, June 26, 2020 (HealthDay News) — The Trump administration has asked the Supreme Court to overturn the Affordable Care Act (ACA).
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 June 22 to 26, 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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Black Americans More Likely to Know Someone Who Has Died of COVID-19
FRIDAY, June 26, 2020 (HealthDay News) — Far more black Americans say they know someone personally who has died of COVID-19 than whites, a new poll finds.
Older Age, Obesity, Disability Tied to Severe COVID-19 in MS
FRIDAY, June 26, 2020 (HealthDay News) — For patients with multiple sclerosis (MS), age, obesity, and high Expanded Disability Severity Scale score (EDSS) are significantly associated with increased risk for severe COVID-19, according to a study published online June 26 in JAMA Neurology.
U.S. Has Second Day of Record Rise in COVID-19 Cases; Young People Fueling Trend
FRIDAY, June 26, 2020 (HealthDay News) — As the United States reported yet another record-breaking number of COVID-19 cases on Thursday, public health officials warned that younger Americans now account for an ever-growing percentage of infections.
CDC Updates List of Who Is at Highest Risk for COVID-19
FRIDAY, June 26, 2020 (HealthDay News) — The list of conditions that put people at risk for severe COVID-19 illness has been expanded by the U.S. Centers for Disease Control and Prevention.
Colchicine May Improve Time to Clinical Deterioration in COVID-19
FRIDAY, June 26, 2020 (HealthDay News) — Hospitalized patients with COVID-19 receiving colchicine have significantly improved time to clinical deterioration, according to a study published online June 24 in JAMA Network Open.
Genomewide Level Associations Identified for Severe COVID-19
FRIDAY, June 26, 2020 (HealthDay News) — Patients with COVID-19 and severe disease have associations at locus 3p21.31 and 9q34.2, which are significant at the genomewide level, according to a study published online June 17 in the New England Journal of Medicine.
ED Visits for Childhood Asthma Down During Pandemic
FRIDAY, June 26, 2020 (HealthDay News) — There has been a dramatic decrease in pediatric asthma-related emergency department use during the COVID-19 pandemic compared to the four previous years, according to research published online June 6 in the Journal of Allergy and Clinical Immunology: In Practice.
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CDC: HIV Testing Occurs at <1 Percent of Physician Visits
THURSDAY, June 25, 2020 (HealthDay News) — HIV testing occurs at less than 1 percent of physician office and emergency department visits and at less than 3 percent of community health center (CHC) visits, according to research published in the June 26 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
Texas Pauses Reopening as COVID-19 Cases Rise
THURSDAY, June 25, 2020 (HealthDay News) — As COVID-19 cases surge in Texas, the state is pausing its reopening process and freeing up hospital beds for COVID-19 patients.
CDC: U.S. Salmonella Cases Linked to Backyard Poultry Reach 465
THURSDAY, June 25, 2020 (HealthDay News) — The number of Salmonella infections linked with backyard poultry has reached 465 in 42 states, an increase of 368 since the last update on May 20, the U.S. Centers for Disease Control and Prevention said Wednesday.
Risk for Hospitalization Up for Pregnant Women With COVID-19
THURSDAY, June 25, 2020 (HealthDay News) — Among women of reproductive age with COVID-19, pregnant women are more likely to be hospitalized and to be admitted to the intensive care unit, according to research published in the June 26 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
Model May Help Predict Risk for Testing Positive for COVID-19
THURSDAY, June 25, 2020 (HealthDay News) — It is possible to predict the likelihood of testing positive for COVID-19, according to a study published online June 10 in CHEST.
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Sex, Ethnic Differential Patterns of COVID-19 Unexplained
THURSDAY, June 25, 2020 (HealthDay News) — Sex and ethnicity differential patterns of COVID-19 positivity are not explained by cardiometabolic, socioeconomic, or behavioral factors, according to a study published online June 19 in the Journal of Public Health.
Sanofi Speeds COVID-19 Vaccine Efforts
WEDNESDAY, June 24, 2020 (HealthDay News) — French drugmaker Sanofi has shortened its timeline to get a COVID-19 vaccine on the market.
Cyclospora Outbreak Linked to Bagged Salad Mixes
WEDNESDAY, June 24, 2020 (HealthDay News) — An outbreak of Cyclospora infections in the U.S. Midwest appears to be linked to bagged salad mixes, the U.S. Centers for Disease Control and Prevention said Tuesday.
Experts Weigh in on Pace of Reopening, Preventive Measures
WEDNESDAY, June 24, 2020 (HealthDay News) — As states across the country continue to move into different phases of reopening, many are questioning whether the rush to stabilize the economy will result in an influx of new COVID-19 infections. HD Live! sat down with Marjorie Jenkins, M.D., dean of the University of South Carolina School of Medicine Greenville, and Thomas Giordano, M.D., section chief of infectious diseases at the Baylor College of Medicine in Houston, to discuss the health care and economic uncertainty that faces the nation.
ED Use Down for MI, Stroke, Hyperglycemic Crisis in COVID-19
WEDNESDAY, June 24, 2020 (HealthDay News) — Following declaration of the COVID-19 pandemic as a national emergency, there was a decrease in visits to the emergency department for myocardial infarction (MI), stroke, and hyperglycemic crisis, according to research published in the June 22 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
CDC: 10.7 Percent of U.S. Adults Used Rx Pain Meds in 2015 to 2018
WEDNESDAY, June 24, 2020 (HealthDay News) — In 2015 to 2018, 10.7 percent of U.S. adults aged 20 years or older used one or more prescription pain medications in the previous 30 days, according to a June data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.
Older Age, Black Race, Diabetes Up Hospitalization in COVID-19
WEDNESDAY, June 24, 2020 (HealthDay News) — Characteristics that are independently associated with hospitalization for COVID-19 include older age, black race, and having diabetes mellitus, according to research published in the June 17 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
Suicide Risk Increased After Hip Fracture in Elderly Patients
WEDNESDAY, June 24, 2020 (HealthDay News) — Elderly patients with hip fracture have an increased risk for suicide, according to a South Korean study published in the June 17 issue of The Journal of Bone & Joint Surgery.
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Tocilizumab Shows Promise for Treatment of COVID-19
WEDNESDAY, June 24, 2020 (HealthDay News) — Use of tocilizumab to target cytokine release syndrome (CRS) seems beneficial for patients with COVID-19, according to a study published online June 15 in CHEST.
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Huge Saharan Dust Plume Will Affect Americans’ Health
TUESDAY, June 23, 2020 (HealthDay News) — Meteorologists and health experts are warning that a huge blanket of Sahara Desert dust will engulf parts of the United States this week.
Black, Hispanic Medicare Patients Much More Likely to Be Hospitalized With COVID-19
TUESDAY, June 23, 2020 (HealthDay News) — Black Medicare recipients are nearly four times more likely and Hispanics are nearly two times more likely than whites to be hospitalized with COVID-19, according to the U.S. government.
COVID-19 Vaccine May Be Available by Late 2020, Early 2021: Fauci
TUESDAY, June 23, 2020 (HealthDay News) — There could be a COVID-19 vaccine by the end of this year or early next year, according to Anthony Fauci, M.D., infectious diseases chief at the U.S. National Institutes of Health.
Asthma Seems Not to Be Linked to COVID-19 Hospitalization
TUESDAY, June 22, 2020 (HealthDay News) — Asthma seems not to be associated with COVID-19 hospitalization, according to a study published online June 9 in the Journal of Allergy and Clinical Immunology.
Small Increase Seen in Risk for Subdeltoid Bursitis With Flu Shot
TUESDAY, June 23, 2020 (HealthDay News) — There is a small increased risk for subdeltoid bursitis after influenza vaccination, according to a study published online June 23 in the Annals of Internal Medicine.
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COVID-19 Hospitalization Up With Prednisone in Rheumatic Disease
TUESDAY, June 23, 2020 (HealthDay News) — For patients with rheumatic disease with COVID-19, glucocorticoids are associated with increased odds of hospitalization, according to a study published in the July issue of the Annals of Rheumatic Diseases.
Costs for COVID-19 High With Consumer-Directed Health Plans
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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