A new study found that while timely heart attack treatment has improved over time, disparities persist among female patients and patients from underrepresented racial groups. The study analyzed data from over 450,000 California hospital records between 2005 and 2015.
A new analysis found that while the number of emergency physician residency programs is increasing, they are disproportionately located in urban areas, rather than rural communities. This can exacerbate workforce challenges and shortages in rural areas, with many states lacking emergency medicine residency programs.
A new study shows that personalized feedback between peers can significantly reduce opioid prescribing rates in emergency departments. The analysis found a 35% drop in opioid prescribing among physicians and a 41% drop among nurse practitioners and physician assistants.
A new study found that emergency physicians are missing opportunities to prescribe life-saving medications like naloxone and buprenorphine after opioid overdose visits. The study analyzed over 149,000 visits between 2019-2021 and discovered that naloxone was prescribed only in 7.4% of cases, while buprenorphine was prescribed in only 8...
A new analysis found that 78% of healthcare workers experienced violent assault in the past year, with emergency physician residents facing a higher risk. The study highlights the need for improved workplace violence protocols and increased reporting to protect healthcare workers' mental health and safety.
A new case report details the treatment of a patient with VITT (vaccine-induced thrombotic thrombocytopenia) using bivalirudin, an alternative to heparin. Early outcomes suggest that this approach may be safe and effective in treating these rare but serious clot reactions.
A new analysis reveals that rural America is experiencing a worsening shortage of emergency physicians, with 92% practicing in urban areas. The rural workforce is also aging, with nearly all recent graduates opting for urban practices, leaving many rural communities without adequate emergency care.
A new study published in Annals of Emergency Medicine explores injury patterns to identify key differences between elder abuse and unintentional injuries. The study reveals distinct injury patterns, such as head or neck injuries without visible harm, facial injuries on the left cheek, and neck injuries, which can help healthcare profes...
The Emergency Medicine Foundation is awarding research grants to advance emergency patient care and improve healthcare system responses to pandemics. Eligible applicants can apply for funding to study topics such as PPE design, telemedicine, laboratory testing, and special populations.
Risk factors for transmission of coronavirus include flu-like symptoms, recent travel to China, and close contact with someone infected. Public health concerns highlighted by the outbreak include economic and social risks, misinformation, and anxiety-driven public behavior change.
A study analyzing 9,295 patients in four Indiana hospital systems found that those with multiple ED visits, heroin use, and Medicaid or uninsured status were more likely to have future emergency department encounters. Consolidating patient information can improve risk assessment and treatment opportunities for at-risk patients.
A study published in Annals of Emergency Medicine found that cooling burns with running water decreases skin grafting requirements by over 40%, hospital admission by 35.8% and operating room treatment by 42.4%. Cool running water also accelerates healing, reducing scarring risk.
A recent case analysis published in JACEP Open reveals that vaping emergencies can be challenging to diagnose due to initial symptoms that resemble pneumonia. The study highlights the importance of accurate diagnoses, which typically involve ruling out other infections and conditions.
The American College of Emergency Physicians warns that generic mobile phone chargers can cause serious injuries, including burns and electrocutions. Teens and adolescents are particularly at risk due to their frequent mobile device use.
A new study published in Annals of Emergency Medicine found that 15.5% of in-flight medical emergencies involve children, with one in six cases requiring additional care. Parents can take steps to avoid emergencies by carrying their child's medicine on the plane and being mindful of potential health issues.
Geriatric frequent users are more likely to have multiple chronic conditions and require more resources and medical interventions. The most common conditions among these patients include diabetes, kidney disease, and congestive heart failure.
A new clinical review recommends medication-assisted treatment for patients experiencing opioid withdrawal, which can help ease them into longer-term treatment and recovery. Buprenorphine is the preferred medication for most patients, particularly in emergency department settings.
Contact lens wearers are advised to remove their lenses before sleeping to avoid microbial keratitis, a potentially serious infection. Proper eye care is crucial to prevent such health issues.
A new study found that transfusions of packed red blood cells stored for 22 days or more are associated with a 5% increase in mortality risk in trauma patients. The study suggests that patients who require massive transfusions may benefit from receiving fresh stored packed red blood cells, or those stored for 14 days or less.
Hands-Only CPR training kiosks are effective in teaching life-saving skills in minutes, increasing bystander intervention and improving survival rates. The study found that kiosk sessions outperformed video-only sessions in raising awareness and teaching techniques.
The new guidelines standardize a framework for recognizing, treating and managing a child's recovery from mild traumatic brain injury. Key recommendations include screening for risk factors, safe prescribing and education for children and families.
A new analysis suggests that improving communication strategies can improve treatment protocols for at-risk casualties in chemical exposure incidents. The study recommends introducing an immediate 'disrobe and dry' decontamination stage, which enables first responders to reassure victims and start providing instructions.
A California emergency department study found nearly 6% of urinary tract infections were caused by drug-resistant bacteria, with no identifiable risk factor for infection in many cases. The researchers urge wider use of urine culture tests and improved follow-up systems to address the growing problem of antibiotic resistance.
A new study published in Annals of Emergency Medicine found that pelvic exams lack reliability and provide little new information for diagnosing sexually transmitted diseases (STDs) in adolescent females. The study's authors argue that rapid urine STD testing provides a more accurate and less invasive way to diagnose these diseases.
A review of current evidence published in Annals of Emergency Medicine suggests that emergency department-facilitated transitions to outpatient care with Medication-Assisted Treatment (MAT) lead to healthier patient outcomes. MAT improves long-term outcomes, reduces fatal overdose risk and hospitalizations.
A new analysis reveals that rural areas struggle to retain emergency physicians, while advanced practice providers like nurse practitioners provide disproportionately more emergency care. The study highlights the need for targeted training and policy changes to address these workforce gaps.
Emergency room patients prescribed opioids are less likely to become long-term users, with prescriptions exceeding 7 days decreasing by 84-91% in ER settings. This study suggests that adherence to CDC guidelines may contribute to reduced opioid misuse.
A new healthcare delivery model proposes partnering ERs with primary care to address failing health in underserved areas. This approach aims to connect patients to other physicians and resources, improving overall rural population health.
A recent study found that elderly patients who visit emergency departments due to falls are at risk for adverse events, including additional falls, hospitalization, and death within 6 months. The study highlights the importance of educating patients on how to prevent falls after discharge from the emergency department.
States that expanded Medicaid coverage saw a 2.5% increase in emergency department visits per 1,000 people after 2014, while uninsured ER visits decreased by 5.3%. The study found larger impacts on states with higher childless adult populations.
A new electronic sepsis alert protocol has been implemented in pediatric emergency departments, reducing missed diagnoses of severe sepsis by 76 percent. The protocol uses a combination of vital signs, risk factors, and physician judgment to identify children at high risk of developing sepsis.
A study found that using smartphones to deliver lab results to attending physicians reduced discharge time by 26 minutes for chest pain patients. This innovation could improve emergency department flow and reduce waiting times.
A study published in Annals of Emergency Medicine found that prednisone did not provide additional relief for emergency patients with hives. Antihistamine levocetirizine alone achieved full itching relief within 2 days for 76% of patients.
A new study by ER docs shows that administering medications via the nose can be a helpful option for certain patients, especially children. Intranasal administration of midazolam, fentanyl, naloxone, ketamine, and dexmedetomidine can provide effective pain relief and seizure treatment.
A study found that adding a question about blood thinner use improves sensitivity for identifying traumatic intracranial hemorrhage. Researchers analyzed charts for 2,100 patients and suggested that medication history should be available to EMS providers to ensure timely treatment.
A study of nearly 12,000 records found that community-based palliative care reduced emergency department visits for dying patients by an average of two times per year. Patients receiving palliative care were more likely to live in urban areas and have a partner, leading to significant reductions in ER visits.
A double-blind, randomized clinical trial found that patients treated with naproxen and placebo had outcomes as good as those treated with naproxen and diazepam (Valium) for acute lower back pain. By three months after visiting the emergency department, most patients had recovered completely regardless of treatment.
High-concentration peroxide ingestion has been linked to life-threatening ailments such as seizure, stroke, and respiratory distress, with a mortality rate of 6.8%. Early treatment with hyperbaric oxygen can improve outcomes.
A recent study published in Annals of Emergency Medicine found no association between intravenous contrast media and acute kidney injury. The research, which analyzed five years of records, showed that the probability of developing acute kidney injury was higher for patients receiving unenhanced CT scans.
A recent study published in Annals of Emergency Medicine reports a case of a 6-year-old child who ingested liquid nicotine from an e-cigarette, requiring intubation and ICU admission. The patient's mother had mixed the liquid herself, resulting in a highly concentrated substance that caused severe symptoms and altered mental status.
Patients with mental health emergencies in Massachusetts wait an average of 16.5 hours for hospital admission and 21.5 hours for transfer to another facility compared to 4.2 hours for medical patients.
A study found that retail clinics near emergency departments had little effect on reducing low-acuity visits to them. The growth of retail clinics led to a small decrease in emergency department visits only among patients with private insurance.
In Illinois, average monthly ER visits increased by 5.7% after Obamacare's implementation. In Massachusetts, availability of on-call specialists declined significantly between 2005 and 2014.
A study of over 3 million Medicare patients found that seniors with higher continuity of care had 20% lower risk of emergency department visits and hospitalizations. Maintaining a relationship with one doctor can help avoid such situations.
A nurse-initiated protocol to improve timeliness of care can significantly decrease ER stays for patients with certain conditions, including fever and hip fractures. The study found that average length of stay was reduced by almost 4 hours by implementing such a protocol.
A new street drug combining fentanyl and U-47700 is being marketed as 'Norco' in Central California, posing a significant threat to users. The synthetic opioid's toxicity led to an unexpected cluster of fatal deaths in the area.
Visits to emergency departments for hypertension increased by 64% between 2002 and 2012, despite a decline in hospitalizations. Aggressive home monitoring may be driving patients to ERs without other emergency conditions. Mortality rates were low, with less than 1% of patients dying within 90 days.
The study found that emergency medicine residents carry an average of $212,000 in educational debt, surpassing the national average mortgage of $168,000. This debt significantly impacts their career decisions and overall financial well-being.
A study published in Annals of Emergency Medicine found that loperamide, a key ingredient in Imodium, is being abused by people seeking to self-treat opioid withdrawal symptoms or euphoria. The medication's safety is compromised when used in high doses, leading to cardiac dysrhythmia and death.
A study published in Annals of Emergency Medicine found that dexamethasone was effective in treating mild to moderate asthma in ER patients with only slightly higher relapse rates compared to a 5-day course of prednisone. The single-dose medication eliminates prescription adherence barriers such as forgetfulness and cost.