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Fewer patients with PTSD survive COVID

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.

SourceUniversity of California - San Francisco·JournalTranslational Psychiatry·DateNov 22, 2022

CPR mannikins used in instructive social media posts lack diversity, influencing patient outcomes and disparities in training and care

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.

SourceElsevier·JournalCanadian Journal of Cardiology·TypeObservational study·DateNov 21, 2022

Half of patients in telemedicine program for opioid use disorder current with medication a month later

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.

SourceUniversity of Pennsylvania School of Medicine·JournalNEJM Catalyst·TypeMeta-analysis·DateNov 16, 2022

Study shows 86.4% of infants with anaphylaxis appropriately received epinephrine

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.

SourceAmerican College of Allergy, Asthma, and Immunology·JournalAnnals of Allergy Asthma & Immunology·DateNov 10, 2022

Helping patients with addiction tackle their health needs

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.

SourceKaiser Permanente·JournalJAMA Network Open·DateNov 10, 2022

Study finds automated texts decrease odds of rehospitalization

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...

SourceUniversity of Pennsylvania School of Medicine·JournalJAMA Network Open·TypeRandomized controlled/clinical trial·DateNov 7, 2022

Death and end-of-life care in emergency departments

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.

SourceJAMA Network·JournalJAMA Network Open·DateNov 4, 2022

Telehealth follow-up associated with increased returns and hospitalizations after emergency department visit

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.

SourceUniversity of California - Los Angeles Health Sciences·JournalJAMA Network Open·TypeData/statistical analysis·DateOct 25, 2022

Patients waiting for urgent surgery in A&E feel calmer and experience less pain if given a music pillow

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.

Gender equity at the wilderness medical society: Driving change through transparency

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.

SourceElsevier·JournalWilderness and Environmental Medicine·TypeData/statistical analysis·DateOct 13, 2022

New research highlights lack of follow-up care for youth and young adults after hospitalization or ER visit for mental health

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.

SourceAmerican Psychiatric Association·JournalPsychiatric Services·TypeData/statistical analysis·DateOct 12, 2022

The pros and cons of telemental health

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.

SourceKing's College London·JournalInteractive Journal of Medical Research·TypeSystematic review·DateSep 28, 2022

An emergency department-based ICU improves survival without raising costs, study finds

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.

SourceMichigan Medicine - University of Michigan·JournalJAMA Network Open·TypeData/statistical analysis·DateSep 28, 2022

Neighborhood characteristics affect how often a child visits emergency dept.

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...

Cardiac arrest survival rate rising

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.

SourceUniversity of Gothenburg·JournalEuropean Heart Journal·TypeData/statistical analysis·DateAug 26, 2022

Early blood tests predict death, severe disability for traumatic brain injury

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.

SourceMichigan Medicine - University of Michigan·JournalThe Lancet Neurology·TypeRandomized controlled/clinical trial·DateAug 19, 2022

Big data in the ER

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.

SourceOsaka University·JournalCritical Care·TypeObservational study·DateAug 17, 2022

Effectiveness associated with Pfizer/BioNTech vaccine against emergency department, urgent care encounters for SARS-CoV-2 infection among adolescents

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.

SourceJAMA Network·JournalJAMA Network Open·DateAug 3, 2022

Patient deterioration predictor could surpass limits of traditional vital signs

Researchers developed an AI-driven device that detects and predicts hemodynamic instability using a single ECG lead, outperforming traditional vital sign measurements with nearly 97% sensitivity. The technology has the potential to provide continuous dynamic monitoring capabilities in patients with intermittent static vital sign measur...

SourceMichigan Medicine - University of Michigan·JournalCritical Care Explorations·TypeExperimental study·DateJul 21, 2022

Clinicians who responded to recent mass shootings release recommendations for an effective healthcare response in the future

The study provides guidelines for healthcare facilities to respond effectively to mass shooting incidents. The clinicians identified the importance of modified triage plans, prioritizing patients based on anatomical considerations, and clear communication with emergency responders. By implementing these strategies, hospitals can better...

SourceAmerican College of Surgeons·JournalJournal of the American College of Surgeons·DateJul 18, 2022