Articles tagged with Emergency Medicine
A nationwide trial found that giving whole blood or its component parts to patients with severe bleeding before arriving at the hospital is equally effective. The study, which included over 1,000 patients, also showed no difference in outcomes between newer and older blood within a certain time frame.
A nationwide study found no significant association between telemedicine adoption and changes in US ambulatory visits or total medical spending. The expansion of telemedicine has eased concerns about increased utilization and spending, as the growth did not lead to large increases in these areas.
A retrospective study found lower in-hospital mortality and emergency department use within 30 days of discharge for Medicare beneficiaries undergoing hospital at home compared to traditional inpatient care. However, hospital readmissions within 30 days showed no significant difference between the two approaches.
A new study reveals significant variation in sickle cell disease hospitalizations and costs across New York State, with regional differences in access to specialized care and treatment impacting outcomes. Long Island and New York City show high costs and complex cases, while Central New York has the longest average length of stay.
Artificial platelets have been developed that remain stable and effective after a year at room temperature and two months at high temperatures. This technology could enable direct injection of synthetic platelets into bone marrow to treat life-threatening bleeding in remote areas or disaster zones.
A University of Cincinnati study proves the feasibility and scalability of collecting blood from patients in cardiac arrest during treatment. The approach, which involves paramedics delivering samples to a biorepository, showed significant variation among patients and underscores the need for further research.
A new study found that kratom exposures reported to US poison centers increased 6,500% between 2010 and 2023, with severe outcomes rising from zero cases to 158. States with kratom bans had lower rates of exposure and healthcare use compared to those with regulations.
In England, 13,386 patients waited at least three days for A&E treatment in 2025, with numbers spending a whole day in emergency departments increasing by a third since 2023. The prolonged waits are causing harm to patients nationwide, with some saying they'd rather die at home.
A video game developed to improve trauma triage decision making in emergency doctors has shown promising results. The game reduced under-triage rates for older patients by 49% compared to those who did not play the game, suggesting improved diagnostic abilities and adherence to guidelines.
A new mapping model uses geo-mapping and statistical analysis to identify areas with the greatest need for prehospital whole blood transfusions. The model can help hospital systems quickly deploy scarce blood resources and minimize waste, particularly in underserved communities.
A study found that children who need dental care the most are less likely to participate in school-based cavity prevention programs, which can lead to significant savings for state Medicaid programs. Improving participation among high-risk children could save up to $2.4 million annually.
A new study using a national database of e-scooter injuries found that children accounted for over 45% of e-scooter related injuries. Racial and ethnic disparities were also noted, with Black and Hispanic children seeing the highest rates of injury, at 16% and 15.7%, respectively.
A study of young adults treated in emergency departments found that a firearm-specific risk screening tool, SaFETy score, can predict the risk of interpersonal firearm violence. The findings support the value of the SaFetY score for screening young adults for firearm risk who present to emergency departments.
Dr. Cameron J. Gettel receives the Jeffrey H. Silverstein Memorial Award for his work advancing emergency care for older adults, improving care transitions, and reducing financial burden of acute care. He is recognized as an emerging national leader in geriatric emergency care.
Canada's health system would bear the burden of medical care in major armed conflicts, and lacks a coordinated command structure and surge capacity. A national framework with three pillars – sustained clinical readiness, dual-use capacity, and formal coordination – is proposed to address this vulnerability.
A study analyzing monthly temperatures and cardiovascular deaths found that cold weather accounted for about 6.3% of all cardiovascular deaths, resulting in 800,000 excess deaths over two decades. The research highlights the need for communities to prepare for climate change's impact on extreme cold.
A new study found that ER triage scores for children's mental or behavioral health were inaccurate in two-thirds of cases, with biases against Black and Hispanic patients. Parents are advised to advocate for their child if they suspect a risk of self-harm or harm to others while waiting.
In Ghana, Pakistan, Rwanda, and South Africa, more than half of seriously injured patients failed to reach medical care within an hour. Patients using informal means arrived quicker than those traveling by ambulance.
Research suggests significant heat-health risks observed among socioeconomically vulnerable populations. This study underscores the importance of developing targeted heat warning strategies to mitigate these risks and prevent emergency department visits among older adults.
A randomized clinical trial investigated the effectiveness of low-use vs high-use physical restraint strategies in critically ill patients receiving mechanical ventilation in the ICU. The study found no significant reduction in days free of delirium or coma at 14 days, regardless of the restraint strategy used.
Research reveals carbon monoxide poisoning from waterpipe smoking can occur after brief use, outdoor smoking, or secondhand exposure. The study identified 68 cases of acute CO poisoning, including 13 cases of polycythemia, a chronic condition caused by prolonged exposure to carbon monoxide.
A systematic review of 42 studies reveals a rising trend in self-injury among children and youth in high-income countries, with significant variability across countries. The findings highlight the need for effective, contextually informed prevention strategies to curb this growing concern.
A new study found that A&E patients with visible blood in their urine who receive a scan within 48 hours are 2.5% less likely to die within three months. The study also showed that patients with cancer are diagnosed significantly faster when they receive prompt investigation.
Severe COVID-19 and influenza infections can prime the lungs for cancer development, according to new research. Vaccination, however, largely prevents these changes, suggesting a reduced risk of lung cancer.
A nationwide cohort study found a significantly elevated incidence of out-of-hospital cardiac arrests on post-holiday weekdays, particularly among vulnerable populations after consecutive rest days. The study supports enhanced emergency preparedness and targeted public health messaging during holiday periods.
A new study reveals that neighborhood characteristics, including poverty and lower educational attainment, are associated with higher COPD-related emergency department visits and hospitalizations. Community-level interventions targeting these risk factors can help improve quality of life and reduce acute care use.
A new study from the University of Oulu and Oulu University Hospital found that parental concern is a significant medical indicator, identifying most children with sudden and severe illness. Clear or strong concern from parents correctly identified as many as 91% of seriously ill children.
A study by University of Virginia Health System researchers found that Medicare Advantage patients had better access to preventive care and rehabilitation after a stroke, leading to faster recovery times. In contrast, traditional Medicare patients were less likely to receive these services due to prior authorization requirements.
Research by University of Pittsburgh surgeon-scientists reveals that EMS clinicians who treat a high number of trauma patients have improved survival rates. The study found a 10% decrease in mortality for every five additional trauma patients treated annually, with no association between years on the job and patient outcomes.
Hospital admissions for child maltreatment declined by 31% during the initial lockdown of the COVID-19 pandemic but rebounded to pre-pandemic levels after restrictions were lifted. However, rates of admission to intensive care units (ICUs) increased by 80% after the 16-week period of restricted healthcare access.
A new study published in The Lancet Respiratory Medicine found that prehospital emergency intubation of high-risk trauma patients improves 30-day survival by 10.3% and could save 170 lives each year in the UK. Prehospital intubation needs to be administered by an advanced critical care team.
A new study published in JAMA found that emergency department-initiated buprenorphine for opioid use disorder was well-tolerated and effective, with a low risk of withdrawal. The 7-day extended-release and sublingual buprenorphine groups showed similar treatment engagement rates on day 7.
Scientists have developed a novel computational framework for real-time, personalized heart rate variability monitoring. The framework provides robust, adaptive alerts and improves the accuracy of HRV analysis by excluding artifact-prone periods.
A new study suggests that emergency departments may be able to take meaningful steps during visits to help older adults stay safer once they return home. Researchers found that bedside pharmacy and physical therapy consultations yielded individualized recommendations, including mobility aids and medication adjustments.
A new online tool provides information and tools for clinicians to respond to emerging patient care needs, enhancing trauma-informed healthcare for individuals with C-PTSD. The resource was co-developed by researchers and survivors, aligning with best practices and patient-centered research.
A study analyzing 3225 trauma patients in South East England found that air ambulance pre-hospital care significantly improved survival rates, with 2125 patients exceeding 30-day survival. Those most likely to benefit were severely injured patients with moderate probability of survival, who unexpectedly survived for 30 days.
Despite improvements in UK air ambulance service availability since 2009, regional gaps remain. The provision of advanced interventions like blood transfusion varies, while 24/7 doctor-based teams are not consistently available across the UK.
The UC Irvine School of Medicine has been awarded a $850,000 grant by the California Office of Traffic Safety to broaden the UC Traffic Safety Collaborative Program. The program aims to reduce traffic-related injuries and fatalities in California through education, research, and enforcement.
A new study from Nationwide Children's Hospital finds that similar to older children and adults, about one fourth of children under six years old who experience a concussion will develop prolonged symptoms. Younger children are more likely to sustain brain injuries due to their size differences and weaker muscles.
A low-cost, portable dosimetry system using radiochromic film and a smartphone can provide immediate on-site readings for radiation exposure. The system is practical for personal preparedness in mass-casualty events and costs less than USD$70.
A 82-year-old woman was treated with hyperbaric oxygen therapy for severe carbon monoxide poisoning after conventional oxygen therapy failed to produce significant improvement. The patient demonstrated considerable neurological recovery and full communication abilities after a single session of HBOT.
A new study suggests that gaps in the nation's stroke transfer system reduce survivors' chances of receiving critical treatment and increase disability. Patients with longer delays in hospital transfer experienced worse disability after their stroke, highlighting missed opportunities for many stroke patients.
A recent editorial cautions that Canada's health systems may struggle to cope with the influx of patients during the upcoming FIFA World Cup. The article highlights concerns about overburdened hospitals and emergency departments, as well as the need for a national plan to bolster capacity and train personnel.
UVA experts Bruce Greyson and Marieta Pehlivanova argue that the NEPTUNE model leaves many unanswered questions about near-death experiences. Despite its sophistication, the model selectively ignores scientific evidence and fails to address key aspects of NDEs.
Post-intensive care syndrome (PICS) is a condition affecting ICU survivors, characterized by fatigue, cognitive impairment, and sleep disturbances. Treatment strategies focus on symptom management and prevention of complications.
A study analyzed 169 US TV episodes that portrayed hands-only CPR since 2008 and found nearly half showed outdated practices. Most cardiac-arrest victims receiving hands-only CPR on-screen were white men, while women and Black and Latino people are less likely to receive the intervention in real life.
A new UCLA study finds that the Patient Safety Indicator 04 (PSI 04) metric is fundamentally flawed when applied to emergency stroke care. The researchers argue that the metric incorrectly flags unavoidable complications of severe strokes, rather than problems with the procedure itself.
A study found that maternal vaccinations against influenza and pertussis are associated with reduced hospitalization or emergency department visits in infants under 6 months. Implementing maternal vaccination campaigns can enhance infant health outcomes, addressing low vaccination coverage.
A new rapid test for hepatitis C could identify more patients who can be cured if insurers increase reimbursement to cover the test's high cost. The test's point-of-care feature makes it ideal for early screening and treatment in clinics and emergency rooms.
A meta-analysis found nirsevimab to be associated with reduced hospitalizations and emergency department visits for lower respiratory tract infections in young children. This suggests the potential of nirsevimab to decrease respiratory-related morbidity in this population.
A new Ontario-based study suggests that children aged three months to two years are more likely to visit the emergency department within three days of a virtual primary care appointment compared to an in-person visit. In-person appointments may be preferable for young children with acute concerns.
A population-based cohort study found that virtual sick visits to primary care were associated with a small increase in emergency department use in children aged 3 months or older. The study suggests judicious use of virtual primary care to manage acute illness in children is warranted.
A new study reveals chronic breathlessness is associated with longer hospital stays and higher healthcare costs in Australia. The research highlights the urgent need for clinicians and policymakers to recognize chronic breathlessness as a major driver of hospital admissions and healthcare expenses.
The study found that behavioral health care accounted for $41.8 billion of overall health spending in 2022, with families paying an average of $2.9 billion out-of-pocket. The costs have grown more than twice as fast as other types of medical care, with telehealth visits increasing by 99% per year.
Research shows that 77% of severely injured children are transported or transferred to pediatric trauma centers, highlighting the need for improved access and evidence-based strategies. Variability in access exists across Canadian provinces, with some areas having higher access than others.
The study demonstrates a significant association between the overall asynchrony index (OAI) and patient outcomes in COVID-19-associated severe pneumonia. Patients with a high asynchrony burden had significantly higher intensive care unit mortality and fewer ventilator-free days, highlighting the importance of PVA monitoring.