Current Emergency Medicine News and Events

Current Emergency Medicine News and Events, Emergency Medicine News Articles.
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UConn researcher offers lessons learned from a pre-pandemic study of telemedicine use
With the onset of the COVID-19 pandemic, telemedicine has become a new norm for many routine and non-emergency medical needs. But there are lessons to be learned from telemedicine's use - or lack thereof - prior to the pandemic, and a new study from a UConn School of Social Work researcher offers insight for policymakers, administrators, and public health officials when considering the implementation of new services. (2021-02-22)

As insurers end grace period for COVID-19 hospital costs, study estimates potential bills
Hospital care for COVID-19 has been free to most patients, but insurance companies may be ending that. A study of flu-related hospital bills suggests a coronavirus hospital stay could now cost patients $1,000 out of their own pocket, on average. (2021-02-18)

High patient uptake for text message system monitoring opioid use in real-time
Among the orthopaedic surgery patients in a study using text messaging to monitor opioid use, 61 percent of their tablets were found to be left over (2021-02-17)

People with and without AD have a different threshold for elective revascularisation
The risk of both mortality and rehospitalisation after an elective revascularisation procedure for coronary artery disease is similar for people with and without Alzheimer's disease (AD), but people with AD had worse outcomes after an emergency procedure, according to a new study from the University of Eastern Finland. (2021-02-15)

New ACIP Adult Immunization Schedule recommends changes to several vaccines, includes interim recomm
The Advisory Committee on Immunization Practices (ACIP) has released its 2021 Recommended Adult Immunization Schedule that includes changes to several vaccines including influenza, hepatitis A, human papillomavirus (HPV); and the measles, mumps and rubella (MMR) vaccine. The schedule also includes interim recommendations for COVID-19 vaccination. The complete schedule, including changes in the vaccine notes section, is being simultaneously published in Annals of Internal Medicine and on the Centers for Disease Control and Prevention (CDC) web site. (2021-02-11)

Use of mobile stroke units improves clinical outcomes
STEMOs have been serving Berlin for ten years. The specialized stroke emergency response vehicles allow physicians to start treating stroke patients before they reach hospital. For the first time, a team of researchers from Charité - Universitätsmedizin Berlin has been able to show that the dispatch of mobile stroke units is linked to improved clinical outcomes. The researchers' findings, which show that patients for whom STEMOs were dispatched were more likely to survive without long-term disability, have been published in JAMA*. (2021-02-11)

Routine blood tests could be key to stopping the silent killer of liver disease
New research has shown that results of blood tests routinely performed by GPs everywhere contain a hidden fingerprint that can identify people silently developing potentially fatal liver cirrhosis. The researchers have developed an algorithm to detect this fingerprint that could be freely installed on any clinical computer, making this a low-cost way for GPs to carry out large scale screening using patient data they already hold. (2021-02-11)

Endovascular aneurysm repair linked to higher readmission rates
Ruptured abdominal aortic aneurysms (rAAA) are responsible for nearly 2% of all deaths in U.S. men over the age of 65. Endovascular aneurysm repair (EVAR) has emerged as a newer and less invasive alternative to open repair for rAAA. But researchers from the University of Missouri School of Medicine have discovered that while EVAR is more commonly utilized for rAA, the odds of hospital readmission after EVAR are 1.5 times higher compared to traditional open repair. (2021-02-10)

Study finds U.S. first responders have mixed feelings about COVID-19 vaccine
Firefighters and emergency medical services workers are at high risk of exposure to COVID-19 while on the job and pose an additional risk of transmitting the virus to others. Although vaccines are a promising public health tool for reducing COVID-19 transmission, little has been known about the perceptions of the COVID-19 vaccine among first responders. (2021-02-10)

Peanut allergy affects even more U.S. adults than children
Peanut allergy affects at least 4.5 million adults in the U.S., many of whom report developing their first allergy symptoms during adulthood. Although three out of four Americans with peanut allergy are over 17 years old, peanut allergy is often considered a predominantly pediatric concern. There are currently no FDA-approved therapies for patients with adult-onset food allergy. (2021-02-09)

Findings of study comparing analgesics in acute post-trauma pain
The combination of a high?dose NSAID with paracetamol does not increase the analgesic effect compared to paracetamol alone. Researchers also found that paracetamol alone is superior to high?dose NSAID alone for posttraumatic extremity pain. (2021-02-08)

Help for borderline personality disorder
Borderline Personality Disorder, or BPD, is the most common personality disorder in Australia, affecting up to 5% of the population at some stage, and Flinders University researchers warn more needs to be done to meet this high consumer needs. A new study in the Journal of Psychiatric and Mental Health Nursing (Wiley) describes how people with BPD are becoming more knowledgeable about the disorder and available treatments, but may find it difficult to find evidence-based help for their symptoms. (2021-02-04)

Experimental vaccine blunts the deadliest of synthetic opioids
As the opioid epidemic raged on with an even greater force during COVID-19, the Scripps Research laboratory of chemist Kim Janda, PhD, has been working on new therapeutic interventions that may be able to prevent the bulk of deaths from opioid overdose. Janda and his team have developed experimental vaccines that have shown in rodents to blunt the deadly effects of fentanyl as well as its even more fatal cousin, carfentanil. (2021-02-04)

Personalized screening to identify teens with high suicide risk
Researchers have developed a personalized system to better detect suicidal youths. (2021-02-03)

Computerized adaptive screener may help identify youth at risk for suicide
Researchers funded by NIMH have developed a computerized adaptive screener to identify youth at risk for attempting suicide. The screener, called the computerized adaptive screen for suicidal youth, consists of 11 questions on average and correctly identified 82.4% of youth who went on to attempt suicide in the three months following screening. The results suggest this screener could serve as an easy-to-use way for providers to detect youth suicide risk in emergency department settings. (2021-02-03)

Child head injury guidelines created
Australia's and New Zealand's first set of clinical guidelines for children's head injuries has been created. (2021-02-02)

Lesbian, gay, bisexual medical students are more likely to experience burnout, study finds
Burnout among medical students has significant implications for student health and delivery of care, and future physicians in sexual minority groups report higher rates of burnout than their heterosexual peers. (2021-02-02)

Lack of ICU beds tied to thousands of excess COVID-19 deaths, Yale study finds
New Haven, Conn. --A new study by Yale researchers found a significant association between the availability of hospital resources -- particularly ICU beds -- and patient mortality during the early weeks of the COVID-19 pandemic. (2021-02-02)

Care delivery, cost reduction and quality improvement at heart of improving access to care
The American College of Cardiology's Cardiovascular Summit will feature several poster presentations on care delivery, cost reduction and quality improvement that offer innovative concepts to combat access to care, especially during the ongoing COVID-19 pandemic and as the broader health care system works to improve health equity. Research examines the rapid adoption of virtual outpatient care, enabling rural primary care teams to improve cardiovascular health and optimizing emergency room use after clinic hours. (2021-02-01)

Trauma surgeons and emergency surgeons positively impact patient satisfaction
A large study has found that effective and meaningful physician communication is a more important contributor to the overall satisfaction of trauma patients and those having emergency surgery than it is for patients admitted to the hospital for medical reasons or for elective procedures. (2021-01-29)

Black or Hispanic kids receive less medical imaging than white kids
Large study publishing in JAMA Network Open shows Black and Hispanic children in hospital emergency departments are less likely to have imaging tests, such as X-rays or CT scans, ordered for them compared to White children. The authors attribute this disparity largely to overuse among Whites. (2021-01-29)

George Mason University expands testing and tracking behind faculty research
George Mason University announces it is introducing a rapid-result, saliva-based COVID-19 test that will greatly expand testing capabilities on its campuses this spring. The effort, led by Mason's faculty, is part of a comprehensive program to better track and control the virus on campus. Mason scientists, who are pushing the boundaries of technologies that are keeping Mason's campuses safe, are developing an antibody test that can track a body's response to the virus and vaccine. (2021-01-28)

Nearly one in four families hesitant to take their child to ER during COVID-19 pandemic
During the first wave of the COVID-19 pandemic, nearly one in four families responded that they would be unlikely to bring their child to the Emergency Department if they had an emergency condition, according to a survey from Ann & Robert H. Lurie Children's Hospital of Chicago published in the journal Academic Emergency Medicine. (2021-01-25)

In ED patients with chest and abdominal pain, care delivered by physicians and APPs is si
In patients matched on complexity and acuity presenting to the emergency department with chest pain and abdominal pain, the care delivered by advanced practice providers (APPs) and emergency physicians is largely similar with respect to diagnostic test ordering and admission decisions. (2021-01-25)

COVID-19 infection in immunodeficient patient cured by infusing convalescent plasma
Under FDA emergency-use authorization, doctors successfully resolved COVID-19 in a seriously ill, immunodeficient woman using a very high-neutralizing antibody-titer convalescent plasma from a recovered COVID-19 patient. However, further study suggested that use of convalescent plasma may not be warranted in many cases, for two reasons: 1) titer levels are too low in many convalescent plasmas, and 2) there are high endogenous neutralizing antibody titers already present in COVID-19 patients prior to infusion. (2021-01-21)

Rescuers at risk: emergency personnel face trauma and post traumatic stress symptoms
Researchers at the University of Bern's Hospital of Psychiatry have for the first time, demonstrated varying levels of post-traumatic stress symptoms (PTSS) in emergency personnel and rescue workers, with emergency department and psychiatry department staff demonstrating the highest levels of PTSS, suicidal thoughts and dysfunctional coping strategies. The study highlights the urgent need for job-specific training to improve emergency workers' quality of life and ability to cope with work-related trauma. (2021-01-19)

Heart attack patients in England 'fearful' of seeking medical help amid COVID crisis
Data analysis is revealing a second sharp drop in the number of people admitted to hospital in England with acute heart failure or a heart attack. The decline began in October, as the numbers of COVID-19 infections began to surge ahead of the second lockdown, which came into force in early November. (2021-01-19)

Illinois researchers publish article describing Illinois RapidVent Emergency Ventilator
The design, testing, and validation of the Illinois RapidVent emergency ventilator has been published in the journal Plos One. The article, ''Emergency Ventilator for COVID-19,'' by University of Illinois Urbana researchers, is the first of its kind to report such details about an emergency ventilator that was designed, prototyped, and tested at the start of the COVID-19 pandemic in 2020. (2021-01-15)

Age matters in identifying maltreatment in infants and young children with fractures
Among children who were not in an independently verified incident, evaluation for child abuse should be done by specialty consultation in children aged less than three-years old presenting with rib fractures and children aged less than 18-months presenting with humeral or femoral fractures. (2021-01-13)

More than half of COVID-19 health care workers at risk for mental health problems
A new study, led by University of Utah Health scientists, suggests more than half of doctors, nurses, and emergency responders involved in COVID-19 care could be at risk for one or more mental health problems, including acute traumatic stress, depression, anxiety, problematic alcohol use, and insomnia. The researchers found that the risk of these mental health conditions was comparable to rates observed during natural disasters, such as 9/11 and Hurricane Katrina. (2021-01-12)

Fewer patient encounters drive decline in total primary care office visits
Despite seeing gains in insurance coverage for preventive health services under the Affordable Care Act, the US has seen a declining rate of primary care visits over the past fifteen years. Are fewer individuals seeing primary care physicians? (2021-01-12)

Significant number of patients with sudden loss of consciousness need pre-hospital critical care
Research from life-saving charity Air Ambulance Kent Surrey Sussex (KSS) in partnership with the University of Surrey has shown the benefits of dispatching HEMS to patients with a sudden, unexplained LOC of medical origin and a high prevalence of acute neurological pathology. (2021-01-07)

Public concern about violence, firearms, COVID-19 pandemic in California
The findings of a survey study using data from California suggests the COVID-19 pandemic was associated with increases in self-reported worry about violence for oneself and others, increased firearm acquisition and changes in firearm storage practices. (2021-01-04)

Chest pain risk assessment may reduce treatment disparities
The use of a standardized tool for assessing the risk of serious outcomes in patients with chest pain was associated with women at high risk receiving comparable care to men, according to new research published in the Annals of Emergency Medicine. Care received by women at low and intermediate risk was consistent with current clinical recommendations. Men received more stress testing and were more likely to be hospitalized than women. (2020-12-23)

Study published on the well-being of small business workers during COVID-19
This study, published in the Journal of Occupational and Environmental Medicine, examined whether safety and health climates were related to employee well-being during the COVID-19 pandemic in a sample of small businesses. (2020-12-21)

Despite decrease in recent years, rate of sledding-related injuries still concerning
A new study conducted by researchers at the Center for Injury Research and Policy at Nationwide Children's Hospital found that 220,488 patients were treated in U.S. emergency departments for injuries related to sledding from 2008 through 2017. Nearly 70% of these patients were children age 19 years and younger. (2020-12-16)

LOOP technique for I&D of abscesses in adults is safe, effective alternative to I&D with packing
LOOP technique for incision and drainage (I&D) of abscesses in adults is a safe and effective alternative to the traditional I & D with packing and may offer an alternative to the standard regimen in the treatment of uncomplicated skin abscesses in pediatric patients. (2020-12-16)

Costs, COVID-19 risk and delays top older adults' concerns about seeking emergency care
Even before the pandemic, older Americans had concerns about seeking emergency care because of the costs they might face, the amount of time they might spend in the waiting room and the worry that they might end up hospitalized. But the risk of catching the novel coronavirus in the emergency department and developing COVID-19 added to those worries, according to a national poll of people ages 50 to 80 taken in June. (2020-12-15)

Johns Hopkins Medicine expert weighs devastating impact of COVID-19 on health care workers
During the COVID-19 pandemic, health care workers have been at the forefront of the battle against the life-threatening illness. Sadly, they are not immune to the effects of the disease. Many have contracted COVID-19, and some have died. (2020-12-15)

Study: More than half unlikely to get COVID-19 vaccine under emergency use authorization
A new study led by a Virginia Commonwealth University professor is among the first to examine the psychological and social predictors of US adults' willingness to get a future COVID-19 vaccine and whether these predictors differ under an emergency use authorization release of the vaccine. (2020-12-14)

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