Articles tagged with Emergency Medicine
Pediatric mental health emergency department visits are rising, driven by markers of disease severity and healthcare access issues. Targeted hospital and community interventions can help mitigate recurrent visits and improve mental health care delivery.
A recent study found that 1 in 5 children and teens who visit emergency departments due to mental health crises will still be there after 12 hours. Another 1 in 13 will remain after a full day, with over 60% being suicidal or having self-harmed.
A new study reveals that older adults are hesitant to seek emergency care due to financial worries. Among those who may need care, 22% skip the visit altogether. Those in their 50s and early 60s, women, uninsured individuals, low-income households, and those with poor mental health are disproportionately affected.
A new study found that people with alcohol use disorders who are injured severely enough to require hospital treatment have a fivefold increased risk of dying in the next year. This association was found in over 13,000 patients, with a total mortality rate nearly five times higher than the general California population.
Research reveals stark racial and ethnic differences in swimming skills, with Black and Latine parents less confident in their abilities and fewer children taking swim lessons. Culturally tailored water-safety programs are crucial to eliminating these disparities and reducing child drownings.
A case of a 14-year-old girl who had a cardiac arrest at an overnight camp emphasizes the need for preparation and training for rare but often fatal events. The survival of the patient is attributed to the quick response of emergency medical services and bystander CPR.
A new study reveals that children who survive firearm injuries are more likely to develop mental health diagnoses, particularly stress-related conditions and substance misuse issues. The research found that 35% of firearm-injured kids received a new mental health diagnosis in the year after the incident.
Research finds that individuals with dementia who receive care from an interprofessional team are more likely to visit the emergency department than those cared for by a physician-only practice. However, this team-based approach does not appear to reduce hospitalization rates.
Researchers developed and validated two risk measurement tools to estimate hospitalised COVID-19 patient mortality rates. The COVID-NoLab and COVID-SimpleLab models can predict mortality with reasonable accuracy, helping clinicians identify low-risk patients for outpatient management.
Researchers developed a new continuity of care measure to track clinician/patient relationship quality in family medicine. Higher CoC scores correlate with decreased emergency department visits, suggesting its potential to shape healthcare behaviors.
Researchers at USC's Keck School of Medicine are collaborating with Polaris Dawn to develop a novel method for collecting X-rays in outer space. They aim to harness ambient radiation to create images using analog X-ray film, which could improve medical care on long-duration spaceflights.
A novel public health intervention, virtual overdose monitoring services offer timely and anonymous access to emergency care and can develop personalized response plans for individuals using substances. High-quality research is needed to better understand the benefits and risks of these services.
Researchers from UCSF and the San Francisco VA Health Care System found that veterans with PTSD had an 8% increased risk of death and a 9% increased risk of hospitalization compared to those without psychiatric diagnoses. Patients with psychosis had a 58% increased risk of death and a 66% increased risk of hospitalization.
A study found that CPR mannikins depicted in public social media accounts are predominantly white, lean men, lacking representation of diverse groups. The lack of diversity in these models may influence disparities in training and care for patients experiencing out-of-hospital cardiac arrest.
A new study by Indiana University researchers found that nearly half of non-psychiatric ER patients have mental health and substance use problems. The study used a digital screening tool to identify these issues, which could help reduce future visits and improve patient care.
A telemedicine program for opioid use disorder patients showed that 55% of patients continued with their medication 30 days after being prescribed buprenorphine. The program received 371 calls and provided 249 buprenorphine prescriptions, filling a significant gap in treatment for this population.
A new study by CHOP researchers found that antibiotic-resistant Enterococcus enhances C. difficile virulence by modulating the gut environment, increasing toxin production and nutrient supply. This interaction supports increased colonization and persistence of C. difficile in the gut.
A study by CHOP researchers found that financial stress during the pandemic contributed to depressive symptoms in adolescents across all income groups. The effect was most pronounced in low-income adolescents, but also affected those with lower pre-pandemic household income.
The Vilcek-Gold Award honors immigrant healthcare professionals in the US who demonstrate an outstanding commitment to humanistic and community-centered care. The award includes a $10,000 cash prize, commemorative trophy, and presentation at the Association of American Medical Colleges' annual meeting.
A study found that ER visits for suicidal thoughts among youth aged 5-19 increased by 59% from 2016-2017 to 2019-2021, with hospitalizations rising by 57%. The research highlights the need for improved mental wellness support and training for healthcare providers.
This cross-sectional study investigated emergency department clinicians' concerns about medical errors resulting in either patient harm or malpractice litigation. The findings highlight the emotional toll of these errors on clinicians, including feelings of guilt, anxiety, and burnout.
A 5-year follow-up study found patients who received a patient activation training had more primary care use and fewer substance-related emergency department visits. The intervention taught patients to connect with their primary care team, manage their health holistically, and overcome stigma associated with addiction treatment.
The study aims to assess the effectiveness of recombinant Factor VIIa (rFVIIa) in decreasing bleeding in the brain of patients with intracerebral hemorrhage (ICH). ICH is a deadly stroke type with no effective treatment, and this trial seeks to improve outcomes.
A new study presented at the American College of Allergy, Asthma, and Immunology Annual Scientific Meeting found that most infants with anaphylaxis were treated appropriately with a single dose of epinephrine. The study reviewed charts for 169 patients under 2 years old who presented with anaphylaxis symptoms in various systems.
Researchers found that patients who received automated text messages from their primary care team after discharge had a significant decrease in hospital readmission (55%) and emergency care use (41%) compared to those who did not receive the texts. This study adds to evidence that connecting with patients through text messaging can hel...
The University of Tsukuba researchers developed a machine-learning model to predict undertriage in phone-based triage systems. The model identified risk factors such as age, sex, and comorbid conditions, which can be used to update protocols and improve patient outcomes.
A new study from Penn State found that crowded emergency departments are associated with higher mortality rates throughout the hospital. On days when an emergency department is crowded, patients are 5.4% more likely to die of any cause, regardless of their admission status.
Research highlights the significant role emergency departments play in end-of-life care, with nearly one-third of decedents visiting the ED just before death. The study's findings emphasize the need for emergency medicine practitioners to identify patients in need of end-of-life care and provide necessary resources.
Researchers found that structural racism and insurance barriers limit access to advanced epilepsy care for minority groups in New Jersey. Black patients with private insurance and Medicaid had the lowest EMU admission rates relative to emergency room visits.
The $2.4 million grant will provide direct training for new community health workers in Lubbock and throughout the state through registered apprenticeship programs and job placements. The program aims to increase access to healthcare and address public health needs for underserved communities.
Research found a hospital code response team arrives at least one minute quicker and leads to better patient outcomes with smartphone emergency code notification systems. The study used a secure texting system that connected with electronic medical records, reducing conventional methods' average delay of 78 seconds.
The American Heart Association is launching a two-year initiative to expand and enhance post-acute stroke care across Montana, Nebraska, and North Dakota. The project aims to maximize recovery of function lost during a stroke, reduce risk of secondary effects, and extend high-quality guideline-directed care for all patients.
Research from UCLA Health Sciences found that telehealth consultations following an emergency department visit were associated with 28 more repeat ED encounters and nearly 11 more return hospital admissions per 1000 patients. The findings highlight the need for careful consideration of when to use telemedicine for post-ED follow-ups.
The University of Missouri is revamping its training courses for childcare providers with a $7.5 million grant from the Department of Elementary and Secondary Education. The new online video-based courses aim to be more accessible and engaging, covering topics such as safe sleep, transportation, and emergency preparedness.
A new study suggests that emergency departments saw 15 times more sexual assault-related visits in the past decade, with total hospital charges reaching $233 million in 2019. The study highlights disparities in health needs and admissions, with patients from lower incomes and government insurance plans being disproportionately admitted...
A study published at the European Emergency Medicine Congress found that a digital technology platform called HealthCall can reduce emergency department attendances for residents in care homes. The system provides staff with easy access to clinical advice and has been shown to result in a 10% reduction in expected monthly attendances.
Researchers found that patients awaiting surgery experienced decreased pain and improved relaxation when given a music pillow to listen to during their wait. The study, which included over 30 participants, demonstrated a positive association between music and reduced anxiety in emergency department patients.
A systematic review and meta-analysis found that pulse oximetry has a high false negative rate, making it inaccurate for triaging patients with suspected carbon monoxide poisoning. The researchers recommend developing alternative methods for rapid screening of carbon monoxide levels in capillaries.
Only half of European hospitals have a policy in place to identify children who are being neglected or abused. Hospitals with such policies use effective strategies like screening tools and staff training. However, many staff lack the necessary tools and knowledge to spot maltreated children.
A recent study published in Wilderness & Environmental Medicine reveals a significant gender gap in leadership roles and publishing opportunities within the WMS and its journal. The findings show that women comprise only 10% of board presidents, 18% of recognition awards, and 20% of mainstage presenters.
A study of over 100,000 emergency room visits and 95,000 mental health hospitalizations found that less than half received follow-up care within 30 days. Having established primary care and mental health care before an acute psychiatric service use is crucial for improving follow-up rates.
Two studies reveal rising emergency department wait times and patient abandonment due to overcrowding, with 5% of hospitals experiencing over 10% patient abandonment and median boarding times reaching 3.4 hours nationally.
Between 2011-2020, e-scooter injuries in children increased, with over 10% of patients sustaining head injuries, including concussions, skull fractures, and internal bleeding. Hospital admittance for e-scooter injuries rose from 4.2% to 12.9%, highlighting the need for helmet safety.
A new CAPSTONE study aims to identify inflammatory biomarkers associated with positive and poor outcomes in patients after intracerebral hemorrhage (ICH) strokes. By analyzing patient blood and plasma samples, researchers hope to develop targeted treatments to prevent long-term brain degeneration.
Researchers found elevated traumatic brain injury biomarkers in football players in skill positions, including quarterbacks, wide receivers, and defensive backs. The study suggests that head impact magnitude, not frequency, causes the greatest elevations in TBI biomarkers.
A new study published in JAMA Network Open found that the Emergency Critical Care Center within an emergency department improved patient survival rates without increasing costs. The ED-ICU model reduced total direct cost per encounter by 22.1% for critically ill patients, likely due to early, coordinated critical care.
A recent study found that telemental health can be effective in reducing treatment gaps and improving access to mental health care, especially for marginalized groups. However, it is crucial to consider individual preferences, circumstances, and technological access when implementing this approach.
Researchers surveyed FAU residents on perceptions, coping strategies, and mental health during the pandemic. Residents reported effective coping mechanisms like acceptance, self-distraction, and emotional support, but found depression and anxiety levels in normal ranges.
A small qualitative study found that emergency departments often fail to provide dignified and respectful care to frail older patients, leading to long waits and poor communication. The researchers recommend making healthcare settings more 'frailty friendly' by prioritizing patient comfort and involvement.
A new study published in Pediatrics has found that children living in neighborhoods with greater hardships are more likely to use emergency departments. The study used the Pediatric Health Information Systems database and found a positive association between neighborhood Child Opportunity Index (COI) scores and ED visits, indicating th...
A multidisciplinary effort to improve care for older patients with hip fractures has led to expedited surgery, shorter hospital stays, and better follow-up care at UT Southwestern Medical Center. The program, launched in 2021, prioritizes early pain management and standardized care protocols.
A study published in The Lancet reveals that AI-based risk profiling can improve treatment outcomes for women with heart attacks. By accounting for sex-related differences, the novel score refines current risk models and reduces mortality rates among female patients.
The study found that the probability of surviving cardiac arrest outside hospital has more than doubled in 30 years, from approximately 5% to 11%. The improvement is attributed to increased CPR training and better healthcare resources. However, ambulance delays and an increase in difficult-to-treat cases are hindering further progress.
Researchers developed a blood test that predicts poor outcomes in patients with traumatic brain injury (TBI), allowing clinicians to make decisions earlier on possible treatment. The test, which measures protein biomarkers GFAP and UCH-L1, showed high accuracy in predicting death and severe disability six months after injury.
A team of researchers from Osaka University developed an AI algorithm to predict the risk of mortality for trauma patients. They analyzed a large dataset of patient information and blood markers to identify critical factors that guide treatment strategies more precisely.
The August issue of the CHEST journal features 47 articles on clinically relevant topics such as asthma, COPD, and pulmonary vascular disease. A highlighted article examines barriers to palliative care in interstitial lung disease.
A recent study by Massachusetts General Hospital found that urgent care centers can divert imaging tests away from emergency departments after spinal trauma, resulting in cost savings. The study analyzed data from May 2021 to August 2021 and estimated annual savings of $437,928.
Researchers developed a blood test tool that predicts patient outcomes after traumatic brain injury (TBI), with 87% accuracy for predicting death and 86% for predicting severe disability. The tests are diagnostic and prognostic, easy to administer, swift, and inexpensive.
The Pfizer/BioNTech COVID-19 vaccine demonstrated high levels of protection against emergency department and urgent care encounters related to Delta and Omicron variants. A third dose improved protection against Omicron beyond initial two-dose efficacy, emphasizing the importance of boosters for adolescents aged 12-17.
A study from the University of Warwick found that 69.3% of OHCA's in the West Midlands occurred within 500 meters of a school, equivalent to a five-minute walk. The research suggests that increasing accessibility and availability of defibrillators could lead to improved survival rates.