Research on urgent and emergency care. Covers youth psychiatric emergencies, heat-wave response, and heat-related diagnoses.
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.
A new study reveals that over 85% of primary care practices face difficulties in obtaining evidence-based pediatric behavioral health care, including medication advice and family-based therapy. Policy changes are necessary to address these barriers and ensure comprehensive care for children's growing behavioral health needs.
A UCLA-led study found that Americans' use of common outpatient health services dipped during the COVID-19 pandemic, particularly for those with Medicaid or Medicare-Medicaid dual eligibility insurance. The study suggests that patients may be missing treatments for acute illnesses and delaying preventive care.
A Northwestern University study finds that a two-year pause in state funding contributed to the 2016 surge in Chicago youth homicides. The research suggests that restoring funding could be key to reducing violence among young people.
A study of over 5 million patients in England found that waiting over 5 hours in emergency care before admission is linked to a heightened risk of death from any cause within the next 30 days. The number needed to harm metric was calculated as 1 extra death for every 82 patients delayed after 6-8 hours.
A large clinical trial involving over 5,000 patients found that commonly used saline solution is as effective at keeping people alive and their organs functioning as more expensive balanced solutions. The study's results provide greater certainty about the safety and benefits of saline solution for treatment.
A new study by the University of California - San Francisco found an association between increased drinking and hospital visits for atrial fibrillation in a large population. The study linked acute alcohol consumption with a higher risk of new-onset AF in previously undiagnosed individuals.
A new study found a 1,886% increase in opioid-related overdose deaths among U.S. adults aged 55 and older between 1999 and 2019. Contributing factors include ageism, social isolation, depression, and declining cognitive function.
Researchers estimated severe SARS-CoV-2 outcomes in youths tested positive in emergency departments, highlighting key risk factors. The study found higher risks of severe illness among younger patients with underlying health conditions.
A study identified 17 military medical treatment facilities that can provide high-quality obstetric care, including emergency cesarean delivery. This collaboration could reduce preventable maternal mortality and improve care for pregnant patients in rural communities.
A program at the University of Pennsylvania School of Medicine increased buprenorphine treatment rates in emergency departments by sixfold, from 3% to 23%, and sustained the changes. The program used behavioral design tactics and automated connections to peer recovery specialists to overcome barriers to treatment.
A study published by UC San Diego researchers found that heat waves significantly increase emergency room visits among people experiencing homelessness. The study highlights the need for heat action plans to protect vulnerable populations from extreme weather conditions.
A study found that 88% of ED patients with suspected septic olecranon bursitis who received empiric antibiotics without aspiration resolved without needing further treatment. Conservative management may be a reasonable approach for select patients, potentially streamlining care and reducing complications.
Researchers evaluated the quality of supporting evidence for FDA emergency use authorizations of COVID-19-related diagnostic tests, medical devices, and treatments. The study found that some authorizations lacked adequate evidence to support their approval.
A Trinity College study found that severe COVID-19 patients who received care outside of an ICU had a higher mortality rate compared to those in the ICU. The study highlights Ireland's shortage of ICU beds and emphasizes the need for increased critical care capacity.
A small clinical trial found that high-pressure hyperbaric oxygen treatment resolved severe COVID-19 breathing difficulties faster than standard therapy, with significant improvements in oxygen saturation and reduced risk of complications. However, further larger trials are needed to confirm the treatment's effects on survival.
A study published in CMAJ found that hospital health care workers in Quebec had high seroprevalence of SARS-CoV-2 antibodies after the first wave of the COVID-19 pandemic. The highest rates were reported in hospitals with outbreaks, particularly those from older facilities.
Researchers found that up to one in five patients experience increased troponin levels after major surgery, indicating potential heart damage. These patients were also more likely to be anaemic before the operation.
A new study by Centre for Addiction and Mental Health reveals an association between trans individuals' need for acute mental health care and experiences of marginalization. Transgender individuals who access acute mental health care are twice as likely to be diagnosed with personality disorders than the general population.
Researchers developed a web-based toolkit to integrate SafERteens into routine clinical care, which showed promising results in emergency departments and primary care settings. Both adapted interventions decreased violent behaviors among youth in diverse communities.
A Norwegian study reveals that out-of-hours emergency doctors with higher admission rates inflict significant unnecessary costs on hospitals. The study found that patients seen by these doctors have a greater chance of hospital stays, particularly those over 69 years old.
A Michigan Medicine study found that only 7.4% of patients received naloxone and 8.5% received buprenorphine prescriptions within 30 days of an opioid overdose. The low rates highlight missed opportunities for equipping patients with rescue medicines to use in case of future overdoses.
Researchers from Osaka University found that over half of intensive care workers experienced moral distress during the pandemic due to limited communication with patients and families. Virtual communication and psychological support were identified as potential solutions to prevent burnout and ensure proper medical care.
A modeling study found that annual mammography screening beyond age 75 may provide little to no benefit in terms of lives saved, while increasing costs and potential harms from overdiagnosis. Biennial screening up to age 80 is more cost-effective but yields a small number of deaths averted.
A recent study of 9,900 US nursing homes found that private equity acquisition was associated with higher Medicare costs and increased emergency department visits and hospitalizations for preventable conditions. The study highlights concerns about the impact of corporate ownership on nursing home quality and cost.
Researchers found no significant difference in mortality rates between rural and urban emergency departments for life-threatening conditions like stroke and heart attack. Despite facing funding challenges, rural ERs have proven lifesaving for patients treated at these facilities.
A recent study by Weill Cornell Medicine found that nursing homes acquired by private equity companies have lower quality of care and higher Medicare costs. Residents at these facilities were 11% more likely to have emergency room visits and hospitalizations, resulting in $1,080 higher annual Medicare costs.
A University at Buffalo study explores how social and economic characteristics influence hospital readmissions and health inequity in the US. The research found that patients with lower household income, male gender, or treated in urban hospitals have a higher risk of being readmitted within a month of discharge.
Researchers at UCSF discovered a narrower blood pressure range during surgery that significantly improves neuromotor recovery in patients with spinal cord injuries. Patients whose mean arterial blood pressure was between 76 mmHg and 104-117 mmHg had maximal recovery, indicating a potential new treatment guideline.
A new study of family doctors' views and experiences reveals that a software tool meant to reduce emergency hospital admissions is of limited use and benefit. The researchers found mixed views and experiences among GPs and practice managers about the tool, which was used in Wales as part of an earlier trial.
A recent study published in JNCCN found that only 31% of hospitals have immediate availability of all-trans retinoic acid (ATRA), a crucial blood cancer medication. This medication is essential for treating acute promyelocytic leukemia, which has a better prognosis when treated appropriately. The lack of ATRA availability poses a signi...
Researchers found that patients enrolled in COVID Watch, an automated texting system, were 68% less likely to die than those not using it. The system used algorithmically guided text message conversations with patients and was credited with saving 1.8 lives per 1,000 patients at 30 days.
A study of four US states finds that Black people are more likely to be nonfatally shot and injured by police, with disparities greater than seen for fatal shootings. The research highlights the need for comprehensive data on police shootings to draw reliable conclusions about racial disparities.
A systematic review of AI studies on mechanical ventilation found that many were testing early technology, but more work is needed for transparency and bias avoidance. The review recommends improving data availability and reporting standards to facilitate the translation of AI into improved patient care.
More deprived areas of England are less likely to have publicly available defibrillators, according to new analysis. This disparity disproportionately affects communities at greatest risk of cardiac arrest, highlighting an unacceptable health inequality.
US emergency department spending grew to $136.6 billion in 2016, with road injuries and falls accounting for the highest amount of ED spending. The study found that ED spending per visit increased at an annualized rate of 3.4% over the decade.
The Comparing Outcomes of antibiotic Drugs and Appendectomy (CODA) trial found that nearly 7 in 10 patients with antibiotics avoided an appendectomy within three months. By four years, just under 50% had the surgery, suggesting both treatments are safe and valuable to patients differently based on unique symptoms and circumstances.
A new study found that people with autism spectrum disorder are at a substantially increased risk of self-injury and suicide, with odds over three times higher than in non-autistic individuals. The study identified 31 studies showing statistically significant positive associations between ASD and self-harm.
A study of emergency department residents reveals a lack of emphasis on understanding and caring for diverse populations. Residents reported gaining cultural competency through modeling senior residents or faculty and the importance of community-based partnerships.
The University of Michigan's Injury Prevention Center has developed a free online course on pediatric injury prevention, which has gained significant popularity. The course offers tailored learning pathways and covers dozens of injury topics, making it accessible to learners worldwide.
A study analyzing 60 US emergency departments found medication harms were a common cause of visits in 2017-2019, with variation in products and patient age. The data highlighted the need for improved safety measures and monitoring systems to mitigate such incidents.
The project aims to enhance U.S. surveillance of laboratory-confirmed SARS-CoV-2, influenza, and other respiratory viruses through a network of emergency departments across 21 states and 100 hospitals. Data will be obtained from electronic medical records, providing insights into viral infection trends and patient outcomes.
A new study published in Prehospital and Disaster Medicine found that prehospital ketamine administration for excited delirium with concomitant cocaine intoxication significantly increases the risk of subsequent emergency department intubation. The study's findings suggest that cocaine may deplete excitatory neurotransmitters, leading ...
Emergency department crowding poses a serious threat to patient safety due to health system dysfunction and funding structure flaws. Institutions can implement actionable solutions, including financial realignment, regulation, and enforceable surge plans, to alleviate ED crowding.
A new study by Karolinska Institutet outlines a baseline bundle of care interventions that could save millions of lives globally. The Essential Emergency and Critical Care (EECC) concept describes life-saving practices with low complexity and cost, benefiting critically ill patients.
Children exposed to gun violence within a four-block radius are more likely to experience mental health distress, with symptoms appearing days after the incident. Researchers recommend reducing community violence through safe storage and background check laws, as well as providing preventive support for affected families.
A study by UCSF researchers found that emergency department visits and hospitalizations made by patients with addictions increased by 30% and 57%, respectively, between 2014-2018. The authors highlight the urgent need for hospitals to develop systems of hospital-based interventions to provide addiction treatment.
A randomized clinical trial of 125 young adults with concussions found that restricting screen time for 48 hours significantly reduced symptom duration. The study, published in JAMA Pediatrics, suggests that limiting screen time may be a useful strategy to accelerate concussion recovery.
A survey of 147 medical professionals found that smaller endotracheal tube sizes reduce complications in professional voice users. The team hopes to establish evidence-based practices for managing the airways of these patients, who are particularly vulnerable to damage from intubation.
A recent study has found that pregnancies complicated by sepsis are associated with a higher risk of cesarean delivery, postpartum hemorrhage, and preterm delivery. Researchers recommend increased prenatal surveillance for patients with sepsis and other serious infections to mitigate these risks.
Researchers found a significant increase in suicidal thoughts and behaviors among children and teens during the COVID-19 pandemic. Emergency department encounters for these individuals also saw a substantial rise, highlighting the need for improved mental health support services.
A study of over 1,000 patients in Philadelphia's emergency departments found that vaccine hesitancy is common among this population, driven by concerns about safety and research. The authors suggest that EDs can play a valuable role in addressing vaccine hesitancy through targeted education and outreach efforts.
A telephone-delivered nursing care strategy combining heart failure care management with depression treatment improved patients' clinical outcomes. Patients receiving 'blended' collaborative care showed better mental health-related quality of life, including improved mood and reduced limitations in social activities.
A recent study at a large Australian hospital found nearly 4 out of 10 patient transports to be marred by incidents, including limb entrapment, collisions, and issues with infusion pumps. Patient agitation was also a common factor in these mishaps, highlighting the need for improved transport training and preparation.
A Swedish study found that 43% of children with new-onset type 1 diabetes did not receive hospital treatment on the same day as primary care contact. Delayed care can lead to life-threatening conditions like diabetic ketoacidosis. Improved awareness and rapid treatment are crucial for preventing complications.
A survey study found that emergency medicine residents experience high rates of workplace mistreatment, including suicidal thoughts, and identify common sources of mistreatment as supervisors, colleagues, and patients. The study highlights the need for improved workplace culture and support systems to address these issues.
Patients from minority ethnic groups have a disproportionately higher rate of emergency hospital admissions due to comorbidity profiles and earlier onset burdens of diseases. The study found that these disparities are not reflected in commonly used measures like survival rates.
A NIH study published in The New England Journal of Medicine found that administering convalescent plasma to outpatients with early symptoms of COVID-19 did not prevent disease progression. The trial, which enrolled over 500 participants, showed a significant reduction of less than 2% in disease progression.
A new regional policy in Chicago has led to an increase in patients receiving endovascular therapy, a critical treatment for large vessel occlusions. The study suggests that this policy change can improve stroke outcomes and has the potential to have a major public health impact.
A research team from Brigham and Women's Hospital found that delivering acute care at home for non-COVID patients freed up substantial inpatient capacity during the COVID-19 surge. The Home Hospital program provided care for 65 acutely ill patients, amounting to 419 bed-days, over a 3-month period.