Research on urgent and emergency care. Covers youth psychiatric emergencies, heat-wave response, and heat-related diagnoses.
Research finds that cannabis users have a significantly higher risk of emergency room visits and hospital admissions for any cause. However, the study did not find a significant link between cannabis use and respiratory health issues. The authors conclude that further research is needed to confirm their findings.
A new study published in PNAS found that physicians prescribe less pain medication during night shifts than during the day. Researchers attribute this discrepancy to reduced empathy among doctors on night shifts. The study analyzed data from 13,482 discharge letters and found a significant bias towards prescribing fewer painkillers at ...
Residents in predominantly Black communities are more likely to live near a hospital with a certified stroke center but face lower chances of receiving optimal treatment. The study also reveals significant disparities in access to stroke centers based on income and geographic location.
A new study published in BMJ Open Respiratory Research found that cannabis users are 22% more likely to visit the emergency department or be hospitalized compared to non-users. Serious physical injury and respiratory-reasons were the leading causes of ED visits and hospitalizations among cannabis users.
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 study reveals that police involvement in student mental health transfers at Ontario universities differs significantly, with some universities using handcuffs routinely and others reserving them for rare circumstances. The study recommends engaging police only in high-risk situations to minimize restraints during transfers.
Encounter rates for physical abuse in children decreased by 19% during the pandemic, but reasons are unclear. Pediatricians worry that less recognition of child abuse while kids were away from in-person school might be to blame.
A study of nearly 2 million Medicaid enrollees in 2016 revealed racial disparities in healthcare spending and use. Black enrollees used fewer primary care services and recommended care for acute and chronic conditions, but had higher emergency department use compared to white enrollees.
A study from the University of Tsukuba found that home oxygen therapy, care level need 4-5, and cancer are key predictors of frequent emergency house calls among elderly patients. This prediction can help allocate medical resources effectively.
Non-Hispanic Black and Hispanic decedents with dementia used less hospice but more emergency department and inpatient services. They incurred higher Medicare inpatient expenditures, with a 60% increase compared to white decedents.
A study of over 12 million emergency department visits reveals significant racial and ethnic disparities in imaging rates among children. Non-Hispanic white patients consistently received more diagnostic imaging than their black counterparts, highlighting systemic inequities in healthcare.
A team led by University of Utah Health has improved the quality and consistency of care in emergency situations in Rwanda. The project, which began a decade ago, provided advanced training for emergency responders and hospital staff and established standardized checklists for patient care.
A new Cornell-led study reveals that more than 99% of veterinarians have encountered useless or non-beneficial veterinary care, leading to moral distress and difficulties in advocating for euthanasia. The study found that 89% of veterinarians administer futile care, with 42% experiencing frequent instances.
Scientists have discovered that certain metals found in people's urine could be potentially useful clinical biomarkers for the early detection of acute kidney injury (AKI). The study, which was led by experts from the University of Nottingham, found that concentrations of these metals rose in urine within an hour after cardiac surgery ...
Researchers at FAU's Schmidt College of Medicine are conducting a two-year study to investigate emergency department-based prevention strategies for high-risk older patients. The project aims to identify effective fall prevention strategies that target limited resources to improve patient outcomes, safety, and reduce healthcare costs.
A survey of 89 countries found that 62% of emergency medicine professionals experienced burnout syndrome, with 31.2% showing two symptoms. The pandemic has worsened understaffing and limited resources, leading to lower-quality care and medical errors.
The study found that the adapted version of the Re-Engineered Discharge (RED) Program, RED for Depression (RED-D), reduced hospital readmissions among patients with depressive symptoms by 48% and 70% at 30- and 90-day marks. The program included post-discharge depression treatment and transition support.
Parents generally accept AI tools for managing children with respiratory illnesses in the ED, but younger and non-Hispanic Black parents have greater concerns. The study highlights the importance of involving diverse stakeholders in developing AI systems for pediatric healthcare.
The Mount Sinai Hospital will recruit eight postdoctoral trainees for a five-year fellowship program in emergency care research. The program aims to investigate complex medical questions and lead to studies transforming patient care.
The current monkeypox outbreak is more widespread than previous ones outside of Africa, with significant cases reported in Europe, the UK, and North America. A notable increase in cases among men who have sex with men has been observed, although the cause remains unclear.
A new study by Brigham and Women's Hospital found that excess deaths were higher during the Omicron variant period (2,294) compared to the Delta variant period (1,975) in Massachusetts. The researchers suggest that highly contagious variants like Omicron can lead to substantial excess mortality even in a highly vaccinated population.
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 multidisciplinary panel of experts recommends avoiding repeat CTAP imaging and prioritizing opioid-minimizing pain control strategies for adults with low-risk, recurrent abdominal pain. The guidelines also suggest screening for depression and anxiety during ED evaluations.
A study published by the American Heart Association found that women (18-55) and people of color with chest pain were evaluated less thoroughly and took longer to be seen in the ER. The delay could have implications for treatment and outcomes, highlighting the need for future research.
Researchers found a weak correlation between provider and patient satisfaction with anesthesia during ocular surgery, suggesting that providers are poor predictors of patient comfort. The study recommends further research to understand patient satisfaction with anesthesia.
Dr. Lauren Southerland will receive the award for her pioneering multidisciplinary geriatric models of care for older adults with emergency healthcare needs. Her research focuses on quality improvement, implementation science, and incorporating geriatric care into ED care.
A simulated crisis-care event revealed the moral distress experienced by triage team members who had to prioritize patients for scarce resources. The study aimed to operationalize a process for making life-and-death patient decisions, but triage-team members struggled with balancing individual patient needs with fair resource allocation.
Researchers have identified a biomarker that indicates high risk of impending stroke post-subarachnoid hemorrhage, enabling early treatment initiation in comatose patients. Electrodiagnostic monitoring detects 'spreading depolarizations' caused by toxic by-products of blood breakdown, allowing clinicians to intervene before it's too late.
A new study reveals funding for fertility preservation policies varies across the UK, with Scotland offering the most inclusive approach. The study highlights the need for standardization of policies to ensure equal access to care for patients.
A Norwegian University of Science and Technology-developed nasal spray has been tested on over 200 acute overdose patients, restoring breathing in 80% of cases within 10 minutes. The study's findings suggest the nasal spray provides enough antidote for patients to breathe on their own while minimizing the risk of triggering abstinence.
A new study reveals that firearm retailers and law enforcement agencies in Colorado and Washington support providing temporary, voluntary firearm storage options. The concept aims to increase safety by limiting access to firearms during times of crisis, such as suicidal thoughts or Alzheimer's disease. However, concerns about civil lia...
A recent UCLA study found that the injury rate for e-scooter riders in Los Angeles is higher than the national rates for motorcycle, bicycle, car, and pedestrian injuries. The study estimates 115 injuries per 1 million e-scooter rides, highlighting a growing risk as e-scooters proliferate globally.
A randomized trial by the University of Pennsylvania School of Medicine found that pulse oximeters did not change outcomes for patients with COVID-19 in a remote monitoring program. The study enrolled over 2,000 patients and found no statistical difference in the average number of days patients spent alive and out of the hospital.
A new early warning detection system implemented at a hospital reduced medical emergencies and mortality rates by detecting subtle changes in patients' vital signs and cardiac rhythm. The system, which includes real-time alerts and collaboration between nurses, aims to improve the quality of care delivered to critically ill patients.
A study found that opioid prescriptions for children undergoing common outpatient surgeries declined by up to 50% between 2014 and 2019. The trend was most pronounced in adolescents, with a decline from 78.2% to 48% of prescriptions filled within 7 days of surgery.
A randomized controlled trial found that community health workers (CHWs) employed by Medicaid plans can help low-income individuals rely less on emergency rooms and more on outpatient care. The study showed significant reductions in acute care visits and costs, while outpatient visits increased among participants who connected with a CHW.
A new study found that follow-up care after an asthma-related emergency department (ED) visit can help prevent future ED visits for children. Patients who received follow-up care within two weeks of their ED visit were 12% less likely to return to the ED for asthma within 60 days and 13% less likely to revisit for asthma in the next year.
A new study found that non-medical first responders, such as police and fire departments, are associated with higher cardiac arrest survival rates. They initiated CPR in 31.8% of incidents and AED use in 6.1% of cases, leading to significantly improved chances of survival and hospital discharge.
The COVID-19 pandemic saw a decline in ischemic stroke presentations and treatments in Alberta, with more out-of-hospital stroke deaths. Researchers attribute the decrease to hospital avoidance during the pandemic.
Researchers used a programmable button to page phlebotomists for blood draws, reducing the time it took to diagnose a heart attack by an average of 11 minutes. The study showed a significant reduction in processing times, from 14% faster diagnosis to 2.5-minute shorter blood draws.
A new study reveals that Latine children who prefer speaking Spanish are more likely to visit a community health center for their acute asthma symptoms than non-Hispanic white peers. Non-Hispanic Black children are also more likely to receive asthma-related care in emergency departments.
The Philadelphia Regional Center for Children's Environmental Health aims to identify and protect vulnerable communities from environmental exposures. The center will focus on four primary research areas: asthma prevention, lead exposure, air pollution, and endocrine disrupting chemicals.
The Wilderness Medical Society has published evidence-based guidelines for anaphylaxis treatment in remote areas. The guidelines recommend administering intramuscular epinephrine as the primary prehospital treatment, while also discussing prevention strategies such as extracting additional epinephrine from autoinjectors and using expir...
A controlled trial found therapy dog visits significantly reduced pain, anxiety, and depression in ED patients. After just 10 minutes with a therapy dog, patients experienced notable reductions in these symptoms.
A real-time electronic decision support system helped reduce intensive care unit admissions, improve antibiotic use, and lower overall mortality rates for patients with pneumonia. The study found a 38% decrease in mortality among community hospital patients using the system.
A new study found that hospital-affiliated emergency physicians prescribed antibiotics to patients with acute respiratory infections nearly twice as often as contractor-supplied physicians. This disparity highlights the need for improved antibiotic stewardship in telemedicine settings.
A single-center study found that trauma patients were less likely to be vaccinated against COVID-19, even as vaccines became more widely available. The study suggests that trauma centers can play a crucial role in introducing the vaccination conversation with high-risk patients.
A nationwide survey of COVID-19 guidance for emergency medical services (EMS) reveals that nearly half of states lack online access to protocols, leaving frontline workers vulnerable. The study highlights the need for standardized guidance and improved resource allocation to mitigate the impact of future pandemics.
The US falls short in 'geriatricizing' emergency departments, with most institutions lacking resources and support to implement the Geriatric Emergency Department (GED) Guidelines. Delirium, falls, and polypharmacy are common issues that require more attention from care teams.
A study of over 56,000 cases across nine Asian communities found that women were less likely than men to receive lifesaving cardiopulmonary resuscitation (CPR) from a bystander in public locations. In contrast, when cardiac arrests occur at home or in private places, the chances of receiving layperson bystander CPR increased considerab...
Veterans treated at VA hospitals had significantly lower mortality rates compared to non-VA hospitals, with a 20.1% advantage found in overall survival rates. The difference was even greater for Black and Latino veterans.
A new study by Carnegie Mellon University found that veterans who received emergency treatment at VA hospitals had a 20% lower mortality rate compared to those treated at non-VA hospitals. The survival advantage was consistent across different patient groups, including men, women, age, and pre-existing conditions.
The Commission on the North American Opioid Crisis recommends banning direct marketing to prescribers and curbing industry influence on medical education. The group also suggests standardizing addiction care within health systems and improving access to medication-assisted treatment.
Trauma centers in the US are increasingly screening and intervening for patients with alcohol and substance abuse issues, as well as post-traumatic stress disorder (PTSD) and suicidal ideation. A survey found that over 95% of trauma centers screen and intervene for high-risk patients, leading to significant reductions in re-entry rates.
A study found that approximately one-third of the US population lacks access to emergency departments with acute stroke capabilities and telestroke capacity. The research estimated these proportions to better understand healthcare disparities in stroke care.
During the first year of the COVID-19 pandemic, firearm injuries increased significantly in Massachusetts, with a disproportionate impact on Black and Hispanic men. The study found that unemployed individuals from these groups were more likely to experience firearm injuries, highlighting the need for targeted violence prevention services.
A study found implicit gender bias exists in assessing procedural competency among emergency medicine residents, and the evaluator's gender is associated with this bias. The researchers aim to improve evaluation methods to reduce bias and promote fairness.
The US healthcare system is failing to provide adequate care for traumatic brain injury (TBI) survivors, experts warn. A recent report recommends using a comprehensive classification system that incorporates the Glasgow Coma Scale score, CT scans, and blood tests to better assess the severity of TBI.
A new Irish survey found that no trauma sites capture all fracture patients, with only 50% receiving osteoporosis medication within four months of a fracture. Implementing a national Fracture Liaison Service (FLS) would bring services in line with international standards and reduce hospital admissions.
A study found that team-based primary care, coupled with payment reform, can reduce emergency department use among patients. The analysis showed lower rates of increase in ED visits among those transitioning to a team-based capitated practice compared to non-team-based capitated practices.