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

CDC Says People Can Contract Tuberculosis From Deer

MONDAY, Sept. 30, 2019 (HealthDay News) — According to the U.S. Centers for Disease Control and Prevention, humans can contract a rare type of tuberculosis, called bovine tuberculosis, from deer.

CNN Article
More Information: CDC

CDC: THC May Be to Blame for Most Vaping-Related Illnesses

FRIDAY, Sept. 27, 2019 (HealthDay News) — Products containing the marijuana chemical tetrahydrocannabinol (THC) appear to be a main driver behind the hundreds of U.S. cases of serious respiratory illness related to vaping, health officials announced Friday.

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Cases of Legionnaires’ Disease Tied to NC State Fair Rise to 25

FRIDAY, Sept. 27, 2019 (HealthDay News) — The number of cases of Legionnaires’ disease tied to the North Carolina Mountain State fair has risen to 25, with one death, according to the state division of public health.

CNN Article
More Information: CDC

Sports Specialization Ups Injury Risk, Especially in Girls

FRIDAY, Sept. 27, 2019 (HealthDay News) — Sports specialization is associated with a greater volume of vigorous sports activity and increased risk of injury, according to a study published online Sept. 18 in the Orthopaedic Journal of Sports Medicine.

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Eight Touchpoints May Predict Opioid Overdoses

FRIDAY, Sept. 27, 2019 (HealthDay News) — Eight candidate touchpoints are associated with increased risk of fatal opioid overdose, according to a study published in the Nov. 1 issue of Drug and Alcohol Dependence.

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Mental Health Service Use Up After Bariatric Surgery

FRIDAY, Sept. 27, 2019 (HealthDay News) — There is an increase in mental health service presentations after bariatric surgery, according to a study published online Sept. 25 in JAMA Psychiatry.

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Average Annual Premium for Workers Increased in 2019

THURSDAY, Sept. 26, 2019 (HealthDay News) — In 2019, the average annual health insurance premium for workers increased slightly for single coverage and family coverage, according to a report published online Sept. 25 in Health Affairs.

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More Than 800 Cases of Vaping-Linked Illness Reported in 46 States

THURSDAY, Sept. 26, 2019 (HealthDay News) — The number of confirmed or suspected severe lung illnesses linked to vaping has now climbed to 805 cases across 46 states and the Virgin Islands, U.S. health officials reported Thursday.

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Deep Learning Models Classify Disease From Medical Imaging

THURSDAY, Sept. 26, 2019 (HealthDay News) — Early evidence suggests that diagnostic performance of deep learning models is equivalent to that of health care professionals for interpreting medical imaging, according to a study published online Sept. 25 in The Lancet Digital Health.

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Editorial

Racial/Ethnic Disparities in Mortality Persist in the U.S.

WEDNESDAY, Sept. 25, 2019 (HealthDay News) — There are still racial and ethnic disparities in mortality, and these disparities are widening for some age groups, according to a study published online Sept. 24 in the American Journal of Preventive Medicine.

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Vaping-Related Death in Kansas Brings National Total to Nine

TUESDAY, Sept. 24, 2019 (HealthDay News) — A 50-year-old man has become the second patient in Kansas to die from lung damage tied to electronic cigarette use. That brings the national total of deaths from this illness to nine, CNN reported.

CNN Article
More Information: CDC

Girls Take Longer to Recover From Concussion Than Boys

TUESDAY, Sept. 24, 2019 (HealthDay News) — Young female athletes take longer than young male athletes to recover from sports-related concussion (SRC), according to research published in the September issue of the Clinical Journal of Sport Medicine.

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Protected Health Info Breaches Compromise Sensitive Data

MONDAY, Sept. 23, 2019 (HealthDay News) — Most protected health information (PHI) breaches compromise sensitive demographic and/or financial information, according to a research letter published online Sept. 23 in the Annals of Internal Medicine.

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Emergency Departments Need to Up HIV Testing, Linkage to Care

MONDAY, Sept. 23, 2019 (HealthDay News) — HIV testing in South African emergency departments shows a high prevalence and incidence of HIV, as well as significant attrition along the HIV care cascade for HIV-positive individuals, according to a study published online Aug. 18 in EClinicalMedicine.

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Vaping-Linked Lung Illness Claims Eighth Life

FRIDAY, Sept. 20, 2019 (HealthDay News) — A Missouri man in his 40s is the eighth person in the United States to die from complications of a lung injury tied to using electronic cigarettes, the Missouri Department of Health and Senior Services reported.

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Cardiovascular Disease Risk Underestimated in Patients With Mental Illness

THURSDAY, Sept. 19, 2019 (HealthDay News) — Cardiovascular disease (CVD) risk assessment tools that do not include severe mental illness as a predictor could be substantially underestimating CVD risk, according to a study published online Sept. 18 in PLOS ONE.

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CDC: Cases of Vaping-Linked Lung Illness Rise to 530 Across 38 States

THURSDAY, Sept. 19, 2019 (HealthDay News) — The number of confirmed or suspected severe lung illnesses linked to vaping has risen to 530 cases across 38 states and the Virgin Islands, U.S. health officials reported Thursday.

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Many Hospitals, Practices Not Screening for Social Needs

THURSDAY, Sept. 19, 2019 (HealthDay News) — Most hospitals and physician practices are not screening for five key social needs associated with health outcomes, according to a study published online Sept. 18 in JAMA Network Open.

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Editorial

Few Trauma Patients Assessed for Effects of PTSD, Acute Stress

THURSDAY, Sept. 19, 2019 (HealthDay News) — Few trauma patients are assessed for or educated about the potential effects of posttraumatic stress disorder (PTSD) or acute stress disorder (ASD), according to a study published in the September/October issue of the Journal of Trauma Nursing.

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Medical Students Not Ready to Provide Nutritional Care

THURSDAY, Sept. 19, 2019 (HealthDay News) — Medical education does not equip students to provide high-quality, effective nutrition care, according to a review published in the September issue of The Lancet Planetary Health.

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12.6 Million in U.S. Could Benefit From Tx to Prevent Active TB

WEDNESDAY, Sept. 18, 2019 (HealthDay News) — An estimated 12.6 million persons in the United States could benefit from treatment to prevent active tuberculosis (TB), according to a report published in the October issue of Emerging Infectious Diseases, a publication of the U.S. Centers for Disease Control and Prevention.

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Nonphysician Providers Rarely Interpret Diagnostic Images

WEDNESDAY, Sept. 18, 2019 (HealthDay News) — Despite increasing roles of nonphysician providers (NPPs) in health care (nurse practitioners and physician assistants), they still rarely interpret diagnostic imaging studies, according to a study published online Sept. 11 in the American Journal of Roentgenology.

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Pharmacist in ED Cuts Time to Tx to Reverse Anticoagulation

WEDNESDAY, Sept. 18, 2019 (HealthDay News) — Having a pharmacist in the emergency department significantly shortens the time to administration of treatment to reverse anticoagulation in patients with life-threatening bleeds or the need for urgent procedures, according to a study published online Aug. 22 in the Journal of Emergency Medicine.

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Pharmaceutical Treatments for Opioid Abuse May Benefit Teens

TUESDAY, Sept. 17, 2019 (HealthDay News) — Teens who misuse prescription or illicit opioids might benefit from the opioid treatment medications methadone, buprenorphine, and naltrexone, according to a review published online Sept. 10 in the Journal of Studies on Alcohol and Drugs.

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Vaping-Linked Lung Illness Claims Seventh Victim

TUESDAY, Sept. 17, 2019 (HealthDay News) — A 40-year-old California man is the seventh person to die from a severe respiratory illness brought on by using electronic cigarettes.

Tulare County Health & Human Services Agency
Kansas Department of Health and Environment
More Information: CDC

Initiating Empirical Tx for Sepsis Reduces Blood Culture Sensitivity

TUESDAY, Sept. 17, 2019 (HealthDay News) — When empirical antimicrobial therapy is initiated in patients with severe manifestations of sepsis, the sensitivity of blood cultures drawn shortly after treatment initiation is reduced, according to a study published online Sept. 17 in the Annals of Internal Medicine.

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Editorial (subscription or payment may be required)

Optimized AED Placement Might Improve Cardiac Arrest Outcomes

MONDAY, Sept. 16, 2019 (HealthDay News) — Optimized placement of automated external defibrillators (AEDs) could increase out-of-hospital cardiac arrest (OHCA) coverage over real AED placements, according to an in silico study published in the Sept. 24 issue of the Journal of the American College of Cardiology.

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Editorial (subscription or payment may be required)

No New U.S. Measles Cases Reported Last Week

MONDAY, Sept. 16, 2019 (HealthDay News) — The measles outbreak that has spread throughout the United States may be winding down as no new cases were reported last week, health officials said Monday.

AP News Article
More Information: CDC

Continued Use Low Three Months After ED Opioid Rx for Acute Pain

MONDAY, Sept. 16, 2019 (HealthDay News) — Opioid use at three months after an emergency department visit where opioids were prescribed for acute pain is relatively low and not necessarily tied to opioid misuse, according to a study published in the August issue of Academic Emergency Medicine.

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ED Openings, Closures May Affect Tx, Outcomes for Acute MI

MONDAY, Sept. 16, 2019 (HealthDay News) — High-occupancy hospitals may be sensitive to openings and closures in neighboring emergency departments, according to a study published in the September issue of Health Affairs.

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FDA to Assess First Drug Meant to Prevent Peanut Allergy

FRIDAY, Sept. 13, 2019 (HealthDay News) — A panel of experts at the U.S. Food and Drug Administration is set to weigh the pros and cons of what could be the first drug ever approved to prevent peanut allergy.

The Washington Post Article

CDC Revises Number of Vaping-Linked Lung Illnesses to 380

FRIDAY, Sept. 13, 2019 (HealthDay News) — U.S. health officials have revised downward the number of cases of severe lung injury linked to vaping, from more than 450 cases cited last week to the total of 380 cases announced late Thursday.

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Suicide Rates Increasing for Male, Female Youths in U.S.

FRIDAY, Sept. 13, 2019 (HealthDay News) — Suicide mortality rates increased from 1999 to 2017 among both male and female youths, according to a study published online Sept. 13 in JAMA Network Open.

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Helmets Are Underutilized by Cyclists in the United States

FRIDAY, Sept. 13, 2019 (HealthDay News) — From 2002 to 2012, only 22 percent of bicyclists with head/neck injury in the United States wore helmets, according to a study published online Sept. 13 in Brain Injury.

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Women With Heart Attack Do Present With Typical Symptoms

FRIDAY, Sept. 13, 2019 (HealthDay News) — Typical symptoms of myocardial infarction are more common and have greater predictive value in women than in men, according to a study published in the Sept. 3 issue of the Journal of the American Heart Association.

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VA May Have to Pay Billions for Veterans’ Emergency Care Claims

THURSDAY, Sept. 12, 2019 (HealthDay News) — U.S. veterans could receive billions of dollars in denied claims for out-of-pocket emergency care costs at non-VA facilities after a federal court ruled that the Department of Veterans Affairs improperly denied the claims.

AP News Article

HIV Infection May Raise Risk for Atrial Fibrillation

THURSDAY, Sept. 12, 2019 (HealthDay News) — HIV infection is independently associated with an increased risk for atrial fibrillation (AF), according to a research letter published in the Sept. 17 issue of the Journal of the American College of Cardiology.

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EPA to Phase Out Chemical Testing on Mammals

WEDNESDAY, Sept. 11, 2019 (HealthDay News) — The eventual elimination of chemical testing on mammals was announced Tuesday by the U.S. Environmental Protection Agency.

The New York Times Article
More Information: EPA

Risk for Long-Term Opioid Use Up in Hidradenitis Suppurativa

WEDNESDAY, Sept. 11, 2019 (HealthDay News) — Patients with hidradenitis suppurativa (HS) have an increased risk for long-term opioid use, according to a study published online Sept. 11 in JAMA Dermatology.

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Mild Cognitive Impairment Incidence Higher for WTC Responders

WEDNESDAY, Sept. 11, 2019 (HealthDay News) — The incidence of mild cognitive impairment (MCI) is increased in World Trade Center (WTC) responders, according to a study published online Sept. 6 in Alzheimer’s & Dementia: Diagnosis, Assessment & Disease Monitoring.

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President Pushing for Nationwide Ban on Flavored E-Cigarettes

WEDNESDAY, Sept. 11, 2019 (HealthDay News) — As concern grows over hundreds of lung illnesses tied to vaping, the Trump administration on Wednesday said it would move to ban flavored versions of electronic cigarettes.

The New York Times Article

New Tool Measures Patients’ Perceptions of Stroke Care

WEDNESDAY, Sept. 11, 2019 (HealthDay News) — The STROKE Perception Report is a valid and reliable measure of patients’ and family surrogates’ perceptions of the quality of acute stroke hospital services, according to a study published in the October issue of the Journal of Neuroscience Nursing.

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AMA: Do Not Use Electronic Cigarettes

TUESDAY, Sept. 10, 2019 (HealthDay News) — Americans should not use electronic cigarettes while health officials investigate cases of severe lung illness that may be linked to the devices, according to a statement issued by Patrice A. Harris, M.D., president of the American Medical Association.

AMA Statement
NBC News Article

Poverty Rate Drops, but Fewer Americans Have Health Insurance

TUESDAY, Sept. 10, 2019 (HealthDay News) — The percentage of Americans living in poverty declined in 2018, but the rate of those without health insurance increased, according to a U.S. Census Bureau report.

The New York Times Article
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Gun Owners, Nonowners Support Strengthening U.S. Gun Laws

TUESDAY, Sept. 10, 2019 (HealthDay News) — Most gun owners and individuals who do not own guns support measures to strengthen U.S. gun laws, according to a report published online Sept. 9 in Health Affairs.

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Studies Look at E-Cigarette Use Linked to Pulmonary Illness

MONDAY, Sept. 9, 2019 (HealthDay News) — Electronic cigarette use has been associated with severe pulmonary illness, according to three studies published online Sept. 6 in the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report and the New England Journal of Medicine.

Abstract/Full Text – Schier
Abstract/Full Text – Davidson
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Editorial

Racial/Ethnic Variation Found in ED Destination of EMS Transport

MONDAY, Sept. 9, 2019 (HealthDay News) — There is racial/ethnic variation in the emergency department destination for patients using emergency medical services (EMS) transport, according to a study published online Sept. 6 in JAMA Network Open.

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Hearing Aid Use Tied to Lower Risk for Dementia, Depression, Falls

FRIDAY, Sept. 6, 2019 (HealthDay News) — Use of hearing aids is associated with lower risks for being diagnosed with Alzheimer disease, dementia, depression, anxiety, and injurious falls among elderly adults diagnosed with hearing loss, according to a study published online Sept. 5 in the Journal of the American Geriatrics Society.

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1999 to 2016 Saw Increase in Suicide Rates Across the U.S.

FRIDAY, Sept. 6, 2019 (HealthDay News) — Suicide rates increased from 1999 to 2016 in the United States, with the rates increasing most rapidly in rural areas, according to a study published online Sept. 6 in JAMA Network Open.

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Racial, Ethnic Underrepresentation Found in Med School Matriculants

FRIDAY, Sept. 6, 2019 (HealthDay News) — Among medical school matriculants, black, Hispanic, and American Indian or Alaska Native (AIAN) students are underrepresented, according to a study published online Sept. 4 in JAMA Network Open.

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Majority of U.S. Doctors Believe ACA Has Improved Access to Care

THURSDAY, Sept. 5, 2019 (HealthDay News) — Sixty percent of U.S. physicians believe that the Affordable Care Act (ACA) has improved access to care and insurance after five years of implementation, according to a report published in the September issue of Health Affairs.

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Health Officials Close in on Culprit in Vaping Lung Injury Cases

THURSDAY, Sept. 5, 2019 (HealthDay News) — Lab tests have found a chemical derived from vitamin E in samples of vaping products that have sickened people in 25 states.

The Washington Post Article

Second Possible Death Reported in U.S. From Vaping-Related Lung Illness

WEDNESDAY, Sept. 4, 2019 (HealthDay News) — A second death in the United States from severe respiratory illness possibly associated with vaping is being investigated by health officials.

CNN Article
The Washington Post Article

Poll: Not All Older Adults Prepared for Emergency Situations

WEDNESDAY, Sept. 4, 2019 (HealthDay News) — Many older adults have not taken adequate steps to prepare for emergency situations, according to a report published online Sept. 4 based on the University of Michigan National Poll on Healthy Aging.

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Decreased Humoral Immunity to Mumps Seen in Young Adults

WEDNESDAY, Sept. 4, 2019 (HealthDay News) — The frequency of circulating memory B cells (MBCs) specific for mumps is much lower than that of those specific for measles and rubella among healthy college-aged students who were vaccinated in childhood, according to a study published online Sept. 2 in the Proceedings of the National Academy of Sciences.

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Officials Say New York City Measles Outbreak Over

TUESDAY, Sept. 3, 2019 (HealthDay News) — The New York City measles outbreak is over and the public health emergency that was declared on April 9 for parts of Brooklyn has ended, New York Mayor Bill de Blasio said Tuesday.

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Pediatric Flu Vaccine Guidelines Updated for 2019-20 Season

TUESDAY, Sept. 3, 2019 (HealthDay News) — In a policy statement published online Sept. 2 in Pediatrics, updated recommendations are presented regarding influenza vaccines for children, with no preference for any one product or formulation over another.

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