Here are what the editors at HealthDay consider to be the most important developments in Emergency Medicine for August 2019. 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.

As Lung Injury Cases Rise, CDC Advises ‘Do Not Vape’

FRIDAY, Aug. 30, 2019 (HealthDay News) — The number of people who have developed a severe form of lung disease potentially tied to vaping has now risen to 215 cases across 25 states, and federal health officials are recommending that Americans not use electronic cigarettes.

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NFL Seasons of Play, Playing Position Affect Mental Health

FRIDAY, Aug. 30, 2019 (HealthDay News) — For football players in the National Football League, seasons of play and playing position are associated with lasting neuropsychiatric health deficits, according to a study published online Aug. 30 in the American Journal of Sports Medicine.

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eScooter-Related Injuries Have Increased Over Time

FRIDAY, Aug. 30, 2019 (HealthDay News) — Electric motorized scooter (eScooter)-related injuries have increased over time and are frequently associated with alcohol and illicit substance use, according to research published online Aug. 29 in Trauma Surgery & Acute Care Open.

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CDC: January to July 2018 Saw Decrease in Opioid Deaths

THURSDAY, Aug. 29, 2019 (HealthDay News) — Opioid deaths decreased during January to July 2018, while deaths from illicitly manufactured fentanyl (IMF) increased during the same period, according to research published in the Aug. 30 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Plasma Marker May Help Detect Traumatic Brain Injury

THURSDAY, Aug. 29, 2019 (HealthDay News) — Plasma concentration of glial fibrillary acidic protein (GFAP) can aid in detecting traumatic brain injury (TBI) by identifying patients with negative findings on computed tomography (CT) scan who might need magnetic resonance imaging (MRI) and additional follow-up, according to a study published online Aug. 23 in The Lancet Neurology.

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Millions of Contigo Kids Cleanable Water Bottles Recalled

WEDNESDAY, Aug. 28, 2019 (HealthDay News) — About 5.7 million Contigo Kids Cleanable Water Bottles have been recalled in the United States because the clear silicone spout can detach and pose a choking hazard to children, the U.S. Consumer Product Safety Commission (CPSC) says.

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Tourist With Measles Visited Southern California Attractions

MONDAY, Aug. 26, 2019 (HealthDay News) — People who were at Disneyland and other Southern California tourist attractions earlier this month may have been exposed to measles by a tourist from New Zealand, say health officials from Los Angeles and Orange counties.

AP News Article

In-Store E-Cigarette Marketing Influences Use in Young People

MONDAY, Aug. 26, 2019 (HealthDay News) — Recall of electronic nicotine delivery systems (ENDS) marketing at retail stores is associated with increased subsequent ENDS initiation among youth and young adults, according to a study published online Aug. 26 in Pediatrics.

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Peds Mortality Down for Presentation at ED With Higher Readiness

FRIDAY, Aug. 23, 2019 (HealthDay News) — Presentation to hospitals with an emergency department with high levels of readiness to care for pediatric emergencies is associated with reduced mortality, according to a study published online Aug. 23 in Pediatrics.

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As-Needed Inhaler Use an Option for Children With Mild Asthma

FRIDAY, Aug. 23, 2019 (HealthDay News) — Children with mild asthma can use inhalers as needed, according to a study published online July 30 in the Journal of Allergy and Clinical Immunology: In Practice.

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Multidrug-Resistant Salmonella Outbreak Characterized

THURSDAY, Aug. 22, 2019 (HealthDay News) — A recent multidrug-resistant (MDR) Salmonella enterica serotype Newport outbreak, affecting patients in 32 states, was associated with soft cheese and beef consumption, according to a report published in the Aug. 23 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Opioid Addiction Treatment Used More in States That Expanded Medicaid

THURSDAY, Aug. 22, 2019 (HealthDay News) — The use of the opioid addiction medication buprenorphine is much higher in states that expanded Medicaid under the Affordable Care Act than in those that did not expand the program, according to a new report from the Urban Institute, a nonprofit research group.

The New York Times Article
Urban Institute Report

Tuberculosis Rates for U.S. Children Are Low and Declining

THURSDAY, Aug. 22, 2019 (HealthDay News) — Overall tuberculosis rates are low among children and adolescents and are declining steadily, according to a study published online Aug. 21 in The Lancet Public Health.

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Editorial

Some Cities in Texas Susceptible to Measles Outbreaks

THURSDAY, Aug. 22, 2019 (HealthDay News) — Some cities in Texas are susceptible to measles outbreaks, according to a study published online Aug. 21 in JAMA Network Open.

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Mobile Stroke Unit Speeds Access to Intraarterial Thrombectomy

WEDNESDAY, Aug. 21, 2019 (HealthDay News) — Pre-emergency department evaluation on a mobile stroke unit (MSU) can speed access to intraarterial thrombectomy (IAT) compared with standard management by emergency medical services (EMS), according to a study published in the July issue of Stroke.

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Taking Buprenorphine for Opioid Use Disorder May Up Other Med Compliance

WEDNESDAY, Aug. 21, 2019 (HealthDay News) — Using buprenorphine to treat opioid use disorder (OUD) may increase adherence to treatments for other chronic conditions, according to a study published in the September issue of Medical Care.

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Association for Diabetes, Stroke Risk Varies by Age, Race, Sex

TUESDAY, Aug. 20, 2019 (HealthDay News) — The magnitude of the association of diabetes with stroke risk varies by age, race, and sex, according to a study published online Aug. 7 in Diabetes Care.

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Certain Dietary Supplements Tied to Dysphagia, Choking in Seniors

TUESDAY, Aug. 20, 2019 (HealthDay News) — Most reports of swallowing problems caused by dietary supplements involve seniors taking multivitamins or calcium supplements, according to a research letter published online Aug. 20 in the Annals of Internal Medicine.

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Extreme Risk Protection Orders May Help in Averting Shootings

MONDAY, Aug. 19, 2019 (HealthDay News) — The urgent individualized interventions to reduce firearm access, such as extreme risk protection orders (ERPOs), which provide a response when risk for imminent firearm violence is considered to be high, may play a role in preventing mass shootings, according to research published online Aug. 20 in the Annals of Internal Medicine.

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Hypoglycemia Up With Intensive Glucose-Lowering Therapy

MONDAY, Aug. 19, 2019 (HealthDay News) — Intensive glucose-lowering therapy is prevalent among U.S. adults with diabetes and results in hospitalizations and emergency department visits for hypoglycemia, according to a study published online Aug. 15 in the Mayo Clinic Proceedings.

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Pediatric Cannabis Exposure Up After Medical Legalization

FRIDAY, Aug. 16, 2019 (HealthDay News) — Following medical marijuana legalization (MML) in Massachusetts in 2012, there was an increase in pediatric cannabis exposure, according to a study published online Aug. 16 in JAMA Network Open.

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Cases of Severe Lung Injury After Vaping Reported in Three States

FRIDAY, Aug. 16, 2019 (HealthDay News) — Four cases of severe lung injury possibly linked with vaping in Minnesota are similar to dozens of cases in Wisconsin and Illinois. The patients had symptoms such as shortness of breath, fever, cough, vomiting, diarrhea, headache, dizziness, and chest pain, and some were hospitalized for “multiple weeks, with some patients being admitted to the intensive care unit,” according to a Minnesota Department of Health statement, CNN reported.

CNN Article
Minnesota Department of Health

Recommendations Developed for Management of Lyme Disease

FRIDAY, Aug. 16, 2019 (HealthDay News) — The Infectious Diseases Society of America, the American Academy of Neurology, and the American College of Rheumatology have released a draft of their joint clinical practice guidelines for the management of Lyme disease.

Draft Guidelines
Draft Supplemental Materials
Comment on Guidelines

Up to Half of Patients Do Not Disclose Imminent Threats to Physicians

FRIDAY, Aug. 16, 2019 (HealthDay News) — Up to 47.5 percent of patients withhold potentially life-threatening issues from their physicians, including depression, suicidal feelings, domestic violence, and sexual assault, according to a study published online Aug. 14 in JAMA Network Open.

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Advertising Can Promote Interest in Health-Related Research

THURSDAY, Aug. 15, 2019 (HealthDay News) — Advertising current local health-related research using large TV monitors in emergency department waiting rooms can increase the short-term interest in health-related research, according to a study published online Aug. 1 in BMJ Open.

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‘Miracle Mineral Solution’ Is No Miracle Cure, FDA Warns

TUESDAY, Aug. 13, 2019 (HealthDay News) — Miracle Mineral Solution, which is sold online as a medical treatment, can cause serious and potentially life-threatening health problems and should not be bought or used by consumers, the U.S. Food and Drug Administration says.

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Non-Hospital-Based Provider-to-Patient Telehealth Use Growing

TUESDAY, Aug. 13, 2019 (HealthDay News) — Use of non-hospital-based provider-to-patient telehealth grew almost 1,400-fold from 2014 to 2018, according to a FAIR Health White Paper.

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Ultrasound Aids IV Line Placement in Children

TUESDAY, Aug. 13, 2019 (HealthDay News) — Ultrasound guidance improves first-attempt success in establishing intravenous lines in children, according to a study published in the July issue of the Annals of Emergency Medicine.

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Type 1 Diabetes Misdiagnosed in One-Fourth of Children, Adults

TUESDAY, Aug. 13, 2019 (HealthDay News) — Type 1 diabetes diagnosis is missed less frequently when patients present during childhood or adolescence, but unlike in adults, misdiagnosis in childhood is associated with an increased likelihood of diabetic ketoacidosis (DKA), according to a study published in the July issue of Clinical Diabetes.

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One-Third of Physicians Will Take 10+ Years to Pay Off Debt

MONDAY, Aug. 12, 2019 (HealthDay News) — Nearly two-thirds of actively practicing physicians are still carrying medical school debt, according to the Medical School Debt Report 2019, published by the staffing firm Weatherby Healthcare.

Medical School Debt Report 2019

Few at Risk for Diabetes Report Being Informed by Provider

MONDAY, Aug. 12, 2019 (HealthDay News) — Few patients with undiagnosed prediabetes are told that they are at high risk for diabetes, according to a study published in the July issue of Clinical Diabetes.

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Perfusion Assessment Key for Critical Limb Ischemia Diagnosis

MONDAY, Aug. 12, 2019 (HealthDay News) — Strategies for perfusion assessment necessary for critical limb ischemia (CLI) diagnosis remain limited, according to an American Heart Association scientific statement published online Aug. 12 in Circulation.

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High Temps May Up Admissions, Deaths in End-Stage Renal Disease

FRIDAY, Aug. 9, 2019 (HealthDay News) — For patients with end-stage renal disease (ESRD), extreme heat events (EHEs) are associated with increased risk of hospital admission and mortality, according to a study published online Aug. 9 in JAMA Network Open.

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Delayed/Foregone Care More Likely for Cancer Survivors With HDHPs

FRIDAY, Aug. 9, 2019 (HealthDay News) — Cancer survivors with high-deductible health plans (HDHPs) are more likely to experience delayed or foregone care, according to a study published online Aug. 8 in the Journal of Oncology Practice.

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Warnings Issued to Companies Illegally Selling E-Liquid, Hookah Products

THURSDAY, Aug. 8, 2019 (HealthDay News) — Warning letters about 44 flavored e-liquid and hookah tobacco products being sold illegally in the United States have been sent to four companies, the U.S. Food and Drug Administration says.

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FDA Reports More Seizures Among Vapers

THURSDAY, Aug. 8, 2019 (HealthDay News) — There have been 118 more reports of electronic cigarette users suffering seizures since the U.S. Food and Drug Administration first warned the public about the danger in April. That brings the total number of reported cases to 127 between 2010 and 2019, the agency said Wednesday.

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Younger CRC Patients More Likely to Present With Abdominal Pain

THURSDAY, Aug. 8, 2019 (HealthDay News) — Younger patients with colorectal cancer are more likely to present with abdominal pain and via an emergency, according to a study published online Aug. 6 in Colorectal Disease.

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Persistent Inflammation After Sepsis Linked to Higher Mortality

THURSDAY, Aug. 8, 2019 (HealthDay News) — About two-thirds of patients who survive hospitalization for sepsis have persistent elevation of inflammation and immunosuppression biomarkers, which is linked to increased mortality, according to a study published online Aug. 7 in JAMA Network Open.

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Patient Who Caught Legionnaires’ Disease at Atlanta Hotel Dies

WEDNESDAY, Aug. 7, 2019 (HealthDay News) — One of the 12 people diagnosed with Legionnaires’ disease after staying at the Sheraton Atlanta hotel in early July has died, officials said.

CNN Article
More Information: CDC

Medicare Spending on Essential Medicines Up 116 Percent From 2011 to 2015

WEDNESDAY, Aug. 7, 2019 (HealthDay News) — Spending associated with essential medicines grew substantially from 2011 to 2015 for Medicare Part D beneficiaries, according to a study published online July 17 in The BMJ.

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High-Intensity Lipid Lowering May Aid Very Elderly After ACS

TUESDAY, Aug. 6, 2019 (HealthDay News) — Among patients hospitalized for acute coronary syndrome (ACS), the greatest benefit from simvastatin-ezetimibe compared with simvastatin alone to lower lipid levels was observed in those 75 years of age or older, according to a study published online July 17 in JAMA Cardiology.

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2012 to 2018 Saw Substantial Rise in Naloxone Dispensing

TUESDAY, Aug. 6, 2019 (HealthDay News) — From 2012 to 2018, there were substantial increases in naloxone dispensing with considerable regional variation, according to research published in the Aug. 6 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Infant Suffocation Deaths in Bed Increased From 1996 to 2016

TUESDAY, Aug. 6, 2019 (HealthDay News) — There were significant increases in infant mortality from accidental suffocation and strangulation in bed (ASSB) from 1999 to 2016, according to a study recently published in the Maternal and Child Health Journal.

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Electric Fans Help in Hot, Humid Conditions but Not Hot, Dry Ones

MONDAY, Aug. 5, 2019 (HealthDay News) — Electric fans reduce core temperature and cardiovascular strain and improve thermal comfort in hot, humid conditions but are detrimental for all measures in very hot, dry conditions, according to a research letter published online Aug. 6 in the Annals of Internal Medicine.

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Vaping Likely to Blame for 14 Hospitalizations in Two States

MONDAY, Aug. 5, 2019 (HealthDay News) — Possible vaping-related breathing problems have led to the hospitalization of 14 teens and young adults in two states. There were 11 cases of severe breathing problems in Wisconsin and three in Illinois, CNN reported.

CNN Article
Illinois Department of Public Health

U.S. Air Force Orders Day Off Training to Focus on Suicide Epidemic

FRIDAY, Aug. 2, 2019 (HealthDay News) — The U.S. Air Force has ordered a day off from training to focus on a suicide epidemic in its ranks.

CBS News Article

0.49 Percent of U.S. Population Reports Current Sesame Allergy

FRIDAY, Aug. 2, 2019 (HealthDay News) — An estimated 0.49 percent of the U.S. population reports a current sesame allergy, according to a study published online Aug. 2 in JAMA Network Open.

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Editorial

Brand-Brand Competition Has Not Cut Prices in Pharma Market

FRIDAY, Aug. 2, 2019 (HealthDay News) — Brand-brand competition in the U.S. pharmaceutical market has not lowered drug list prices, according to a review published online July 30 in PLOS Medicine.

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Trump Admin Announces Plan to Allow Drug Imports From Canada

THURSDAY, Aug. 1, 2019 (HealthDay News) — Americans could import less expensive prescription drugs from Canada under a plan being developed by the Trump administration.

HHS Press Release
PhRMA Statement

Recommendations Decreased for Cough, Cold Medicine in U.S.

THURSDAY, Aug. 1, 2019 (HealthDay News) — There has been a decrease in recommendations for opioid-containing and nonopioid cough and cold medicines (CCM) in the United States, according to a research letter published online July 29 in JAMA Pediatrics.

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