Here are what the editors at HealthDay consider to be the most important developments in Emergency Medicine for May 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 May 25 to 29, 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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VA Slashes Use of Hydroxychloroquine to Treat COVID-19 Patients
FRIDAY, May 29, 2020 (HealthDay News) — The VA health system has stopped nearly all use of hydroxychloroquine to treat COVID-19 patients, Veterans Affairs Secretary Robert Wilkie said at a House hearing on Thursday.
Remdesivir Use Growing Globally in COVID-19 Patients
FRIDAY, May 29, 2020 (HealthDay News) — Worldwide more physicians are using remdesivir to treat COVID-19 patients, according to a survey released May 21 by Sermo, a global health care polling company and social platform for physicians.
Positive RT-PCR Findings Seen After COVID-19 Discharge
FRIDAY, May 29, 2020 (HealthDay News) — Some patients with COVID-19 have positive reverse transcriptase polymerase chain reaction (RT-PCR) results after discharge, according to a research letter published online May 28 in JAMA Network Open.
Five-Day Course of Remdesivir Beneficial in Severe COVID-19
FRIDAY, May 29, 2020 (HealthDay News) — There seems to be no significant difference between a five- and 10-day course of remdesivir for patients with severe COVID-19 not requiring mechanical ventilation, according to a study published online May 27 in the New England Journal of Medicine.
Burden of Severe COVID-19 High in California, Washington State
FRIDAY, May 29, 2020 (HealthDay News) — For residents of California and Washington with COVID-19, the length of hospital stay and intensive care unit (ICU) admission are high, according to a study published online May 22 in The BMJ.
CV Toxicity Tied to Azithromycin and/or Hydroxychloroquine
THURSDAY, May 28, 2020 (HealthDay News) — Hydroxychloroquine and azithromycin may have a serious adverse impact on the cardiovascular system, according to a research letter published online May 22 in Circulation.
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Links Found Between Leaders of Medical Associations, Industry
THURSDAY, May 28, 2020 (HealthDay News) — There are extensive financial relationships between leaders of U.S. professional medical associations and industry, according to a study published online May 27 in The BMJ.
9.5 Percent Uninsured in U.S. From January Through June 2019
WEDNESDAY, May 27, 2020 (HealthDay News) — A total of 9.5 percent of persons were uninsured from January through June 2019, according to a report published online May 28 by the National Center for Health Statistics.
Improving Glycemic Control May Also Aid COVID-19 Outcomes
THURSDAY, May 28, 2020 (HealthDay News) — Insulin infusion helps achieve glycemic targets and may reduce the risk for poor outcomes in patients with hyperglycemia and COVID-19, according to a study published online May 19 in Diabetes Care.
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African-Americans More Likely to Be Hospitalized With COVID-19
WEDNESDAY, May 27, 2020 (HealthDay News) — African-American patients have an increased likelihood of hospitalization for COVID-19, according to a report published online May 21 in Health Affairs.
U.K. Patients Hospitalized With COVID-19 Are More Often Male
WEDNESDAY, May 27, 2020 (HealthDay News) — Patients hospitalized with COVID-19 are more often male and frequently have comorbidities, according to a study published online May 22 in the The BMJ.
Only One in Four U.S. Hospitals With ICUs Have Tele-ICU Services
WEDNESDAY, May 27, 2020 (HealthDay News) — In 2018, half of U.S. hospitals had the capacity to conduct telehealth-based outpatient visits, while only one in four had tele-intensive care unit (tele-ICU) capabilities, according to a research letter published online April 30 in the Annals of Internal Medicine.
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Surgery Not Superior for Closed Displaced Humeral Shaft Fractures
WEDNESDAY, May 27, 2020 (HealthDay News) — Internal fixation surgery to treat closed humeral shaft fracture does not significantly improve 12-month outcomes versus nonoperative functional bracing, according to a study published in the May 12 issue of the Journal of the American Medical Association.
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WHO Suspends Testing of Hydroxychloroquine in COVID-19 Patients
TUESDAY, May 26, 2020 (HealthDay News) — The World Health Organization has suspended use of the antimalarial drug hydroxychloroquine in a clinical trial of treatments of COVID-19 after a study revealed that patients taking the drug are at increased risk for death and serious heart problems.
Placental Injury Seen in Pregnant Women With SARS-CoV-2
TUESDAY, May 26, 2020 (HealthDay News) — Higher rates of decidual arteriopathy and other maternal vascular malperfusion features are seen in placentas of women with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), according to a study published online May 22 in the American Journal of Clinical Pathology.
Hydroxychloroquine Plus Macrolides No Benefit in COVID-19
TUESDAY, May 26, 2020 (HealthDay News) — For patients with COVID-19 requiring hospitalization, there is no evidence of benefit for use of hydroxychloroquine or chloroquine with or without a macrolide, according to a study published online May 22 in The Lancet.
Adenovirus Type-5 Vectored COVID-19 Vaccine Shows Promise
TUESDAY, May 26, 2020 (HealthDay News) — A recombinant adenovirus type-5 (Ad5) vectored COVID-19 vaccine is safe, tolerable, and immunogenic, according to a study published online May 22 in The Lancet.
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 May 18 to 22, 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. Offers $1.2 Billion to Drug Company for COVID-19 Vaccine Research
FRIDAY, May 22, 2020 (HealthDay News) — The U.S. Department of Health and Human Services said Thursday it would provide up to $1.2 billion to AstraZeneca to develop a potential COVID-19 vaccine from a lab in Oxford, England.
CDC: COVID-19 Not Spread Easily From Contaminated Surfaces
FRIDAY, May 22, 2020 (HealthDay News) — COVID-19 spreads swiftly between people but is not easily caught from contaminated surfaces, according to updated information from the U.S. Centers for Disease Control and Prevention.
Washington Post Article
More Information: CDC
U.S. Government Seeks Deal With Private Industry to Boost Supply of Medical Equipment
FRIDAY, May 22, 2020 (HealthDay News) — In an effort to prevent the United States from again struggling to have enough medical supplies in a pandemic, the federal government is seeking to make a five-year deal with U.S. manufacturers.
AP News Article
Johns Hopkins University
Age, Sex, History of Diabetes Predict Intubation in COVID-19
FRIDAY, May 22, 2020 (HealthDay News) — Older age, male sex, and history of diabetes are factors predictive of intubation among hospitalized patients with COVID-19, while age and body mass index are associated with time to extubation, according to a study published online May 19 in Otolaryngology-Head and Neck Surgery.
Incidence of AMI Hospitalization Down During COVID-19
FRIDAY, May 22, 2020 (HealthDay News) — In Northern California, the incidence of hospitalization for acute myocardial infarction decreased during the COVID-19 pandemic period, according to a letter to the editor published online May 19 in the New England Journal of Medicine.
ED Chest X-Ray Score Predicts COVID-19 Outcomes in Adults <50
FRIDAY, May 22, 2020 (HealthDay News) — A chest X-ray (CXR) severity score can predict outcomes among young and middle-aged adults with COVID-19 on presentation to the emergency department, according to a study published online May 14 in Radiology.
Cardiac Decompensation Seen in Children Following COVID-19
FRIDAY, May 22, 2020 (HealthDay News) — Children may experience acute cardiac decompensation due to a severe inflammatory state (multisystem inflammatory syndrome in children or MIS-C) following infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), according to a study published online May 17 in Circulation.
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Rate of Stroke Low in Hospitalized Patients With COVID-19
THURSDAY, May 21, 2020 (HealthDay News) — The rate of imaging-confirmed stroke is low in hospitalized patients with COVID-19, but mortality is higher than in contemporary controls without COVID-19 and historical controls, according to a study published online May 20 in Stroke.
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Convalescent Plasma Trial for COVID-19 Patients Underway at NYU Langone
THURSDAY, May 21, 2020 (HealthDay News) — Researchers at the NYU Grossman School of Medicine are conducting a phase II clinical trial to determine the efficacy of convalescent plasma in hospitalized patients with COVID-19. Corita R. Grudzen, M.D., vice chair for research in the Ronald O. Perelman Department of Emergency Medicine at NYU Langone Health, wrote the study protocol and recently spoke with HealthDay Live! about the trial.
More Information
NYU Langone Health Press Release
CDC Says Test All Newborns of Mothers With Confirmed, Suspected COVID-19
THURSDAY, May 21, 2020 (HealthDay News) — All babies born to women with confirmed or suspected COVID-19 should be tested, according to U.S. Centers for Disease Control and Prevention guidelines issued Wednesday.
CNN Article
More Information: CDC
CDC: Live Poultry Linked to Salmonella Cases in 28 States
THURSDAY, May 21, 2020 (HealthDay News) — Live poultry, such as chicks and ducklings, in backyard flocks have caused Salmonella infections that have sickened 97 people in 28 states, the U.S. Centers for Disease Control and Prevention said Wednesday.
One-Year Mortality High Following ED Visit for Overdose
THURSDAY, May 21, 2020 (HealthDay News) — Emergency department patients with nonfatal opioid or sedative/hypnotic drug overdose have exceptionally high risks for death in the following year, according to a study published online May 7 in the American Journal of Preventive Medicine.
Clinical Performance of SARS-COV-2 Antibody Tests Varies
THURSDAY, May 21, 2020 (HealthDay News) — The diagnostic specificity of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) serologic assays varies, and sensitivity is poor during the first 14 days of symptoms, according to a study published online May 13 in Clinical Chemistry.
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Factors Linked to COVID-19 In-Hospital Mortality ID’d in NYC
THURSDAY, May 21, 2020 (HealthDay News) — Factors associated with in-hospital mortality include older age, chronic cardiac disease, and chronic pulmonary disease in a cohort of hospitalized patients with COVID-19 in New York City, according to a study published online May 19 in The Lancet.
Asthma Tied to Longer COVID-19 Intubation Time
THURSDAY, May 21, 2020 (HealthDay News) — Among COVID-19 patients who develop severe respiratory symptoms requiring intubation, asthma is associated with a significantly longer intubation time, according to a study published online May 14 in the Journal of Allergy and Clinical Immunology: In Practice.
Deaths From Alcohol, Drugs, Suicide Topped 150,000 in 2018
THURSDAY, May 21, 2020 (HealthDay News) — In 2018, opioid overdose deaths declined, but deaths involving alcohol, suicide, synthetic opioids, and other psychostimulants rose, according to a brief released May 21 by the Trust for America’s Health and the Well Being Trust.
Some Children With COVID-19 Require Admission, PICU Care
WEDNESDAY, May 20, 2020 (HealthDay News) — Some children with COVID-19 require admission and intensive care, according to a study published online May 11 in The Journal of Pediatrics.
Review Highlights Neuropsychiatric Presentations of COVID-19
WEDNESDAY, May 20, 2020 (HealthDay News) — COVID-19 may cause delirium in some patients, according to a review published online May 18 in The Lancet Psychiatry.
Odds of Pulmonary Embolism Up for Obese COVID-19 Patients
WEDNESDAY, May 20, 2020 (HealthDay News) — Patients with COVID-19 with a body mass index (BMI) >30 kg/m² have increased odds of developing pulmonary embolism (PE), according to a research letter published online May 14 in Radiology.
Age, CRP Up Risk for Mortality in Diabetes With COVID-19
WEDNESDAY, May 20, 2020 (HealthDay News) — For patients with diabetes and COVID-19, risk factors for mortality include older age and elevated C-reactive protein, and insulin usage is associated with poor prognosis, according to a study published online May 14 in Diabetes Care.
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Obesity Tied to Increased Risk for Progression to Severe COVID-19
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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