Articles tagged with Emergency Medicine
Comprehensive exploration of living organisms, biological systems, and life processes across all scales from molecules to ecosystems. Encompasses cutting-edge research in biology, genetics, molecular biology, ecology, biochemistry, microbiology, botany, zoology, evolutionary biology, genomics, and biotechnology. Investigates cellular mechanisms, organism development, genetic inheritance, biodiversity conservation, metabolic processes, protein synthesis, DNA sequencing, CRISPR gene editing, stem cell research, and the fundamental principles governing all forms of life on Earth.
Comprehensive medical research, clinical studies, and healthcare sciences focused on disease prevention, diagnosis, and treatment. Encompasses clinical medicine, public health, pharmacology, epidemiology, medical specialties, disease mechanisms, therapeutic interventions, healthcare innovation, precision medicine, telemedicine, medical devices, drug development, clinical trials, patient care, mental health, nutrition science, health policy, and the application of medical science to improve human health, wellbeing, and quality of life across diverse populations.
Comprehensive investigation of human society, behavior, relationships, and social structures through systematic research and analysis. Encompasses psychology, sociology, anthropology, economics, political science, linguistics, education, demography, communications, and social research methodologies. Examines human cognition, social interactions, cultural phenomena, economic systems, political institutions, language and communication, educational processes, population dynamics, and the complex social, cultural, economic, and political forces shaping human societies, communities, and civilizations throughout history and across the contemporary world.
Fundamental study of the non-living natural world, matter, energy, and physical phenomena governing the universe. Encompasses physics, chemistry, earth sciences, atmospheric sciences, oceanography, materials science, and the investigation of physical laws, chemical reactions, geological processes, climate systems, and planetary dynamics. Explores everything from subatomic particles and quantum mechanics to planetary systems and cosmic phenomena, including energy transformations, molecular interactions, elemental properties, weather patterns, tectonic activity, and the fundamental forces and principles underlying the physical nature of reality.
Practical application of scientific knowledge and engineering principles to solve real-world problems and develop innovative technologies. Encompasses all engineering disciplines, technology development, computer science, artificial intelligence, environmental sciences, agriculture, materials applications, energy systems, and industrial innovation. Bridges theoretical research with tangible solutions for infrastructure, manufacturing, computing, communications, transportation, construction, sustainable development, and emerging technologies that advance human capabilities, improve quality of life, and address societal challenges through scientific innovation and technological progress.
Study of the practice, culture, infrastructure, and social dimensions of science itself. Addresses how science is conducted, organized, communicated, and integrated into society. Encompasses research funding mechanisms, scientific publishing systems, peer review processes, academic ethics, science policy, research institutions, scientific collaboration networks, science education, career development, research programs, scientific methods, science communication, and the sociology of scientific discovery. Examines the human, institutional, and cultural aspects of scientific enterprise, knowledge production, and the translation of research into societal benefit.
Comprehensive study of the universe beyond Earth, encompassing celestial objects, cosmic phenomena, and space exploration. Includes astronomy, astrophysics, planetary science, cosmology, space physics, astrobiology, and space technology. Investigates stars, galaxies, planets, moons, asteroids, comets, black holes, nebulae, exoplanets, dark matter, dark energy, cosmic microwave background, stellar evolution, planetary formation, space weather, solar system dynamics, the search for extraterrestrial life, and humanity's efforts to explore, understand, and unlock the mysteries of the cosmos through observation, theory, and space missions.
Comprehensive examination of tools, techniques, methodologies, and approaches used across scientific disciplines to conduct research, collect data, and analyze results. Encompasses experimental procedures, analytical methods, measurement techniques, instrumentation, imaging technologies, spectroscopic methods, laboratory protocols, observational studies, statistical analysis, computational methods, data visualization, quality control, and methodological innovations. Addresses the practical techniques and theoretical frameworks enabling scientists to investigate phenomena, test hypotheses, gather evidence, ensure reproducibility, and generate reliable knowledge through systematic, rigorous investigation across all areas of scientific inquiry.
Study of abstract structures, patterns, quantities, relationships, and logical reasoning through pure and applied mathematical disciplines. Encompasses algebra, calculus, geometry, topology, number theory, analysis, discrete mathematics, mathematical logic, set theory, probability, statistics, and computational mathematics. Investigates mathematical structures, theorems, proofs, algorithms, functions, equations, and the rigorous logical frameworks underlying quantitative reasoning. Provides the foundational language and tools for all scientific fields, enabling precise description of natural phenomena, modeling of complex systems, and the development of technologies across physics, engineering, computer science, economics, and all quantitative sciences.
Researchers used a nontoxic fluorescent solution under ultraviolet light to demonstrate the importance of proper PPE use during COVID-19 patient care. The study found that health care staff who contaminated their face or forearms during PPE removal were more likely to be exposed to the contagion.
A study of over 4 million children found that those relying on urgent care centers for more than a third of their outpatient needs had fewer visits to primary care providers, potentially missing preventative services like vaccinations. This may lead to concerning health impacts down the road if regular primary care is displaced.
A new study shows that financial incentives can increase the number of emergency department physicians trained to prescribe buprenorphine, a potentially life-saving medication for opioid overdose. By offering reimbursement and a $750 incentive, 89% of physicians were fully trained in six weeks.
An analysis of medical insurance claims and productivity data reveals that non-fatal US injuries result in an estimated $1,590 and 11 days off work per injured employee every year. The study found that total medical costs for emergency care visits exceed $133 billion annually.
A study by NYU Langone Health shows a massive expansion of telemedicine during the COVID-19 pandemic, with virtual urgent care visits growing by 683% and non-urgent virtual care visits increasing by 4,345%. The rapid growth was made possible by US insurers expanding coverage and state licensing relaxations.
A 12-week study involving 1,600 emergency department personnel will assess the effectiveness of practices and personal protective equipment in preventing COVID-19 acquisition. The study aims to identify key strategies for reducing transmission risk among frontline health care workers.
The Academic Emergency Medicine journal is making its latest COVID-19 research freely available in an easy-to-navigate online collection. New research will be added to the collection as soon as it is accepted and available.
The current NHS regulations for charging non-residents are poorly understood and applied by healthcare staff, leading to cases of patients being deterred from accessing care and eligible patients being incorrectly billed. Survey responses also highlight the need for independent review and training on the regulations.
A new two-year apprenticeship course will be launched to train 18 emergency and urgent care nursing associates annually, helping ensure efficient use of NHS resources. The course focuses on Urgent and Emergency care systems, combining university studies with paid employment in hospitals.
Researchers recommend conservative approach to treatment, prioritizing physical, emotional, and spiritual needs for severely ill COVID-19 patients. Palliative care teams adapt to emergency style due to resource constraints and high demand.
The Emergency Medicine Foundation is awarding research grants to advance emergency patient care and improve healthcare system responses to pandemics. Eligible applicants can apply for funding to study topics such as PPE design, telemedicine, laboratory testing, and special populations.
The Surviving Sepsis Campaign COVID-19 panel has released comprehensive guidelines for intensive care unit (ICU) patients with COVID-19, including infection control, laboratory diagnosis, and ventilator support. The guidelines were developed in just three weeks by a team of 36 experts from around the world.
An international team of experts has released 54 recommendations for caring for ICU patients with COVID-19, including guidelines on infection control, ventilation support, and therapy. The guidelines were developed in just three weeks and provide critical guidance for frontline clinicians, allied health professionals, and policy makers.
A recent observational study found that opioid-related emergency department visits and hospitalizations decreased in states that implemented the Affordable Care Act's Medicaid expansion. The study suggests that improved access to outpatient treatment has contributed to this reduction.
A new study highlights that appendicitis is often missed in emergency department visits, with a diagnosis rate of 3.8% to 15% in children and 5.9% to 23.5% in adults. The study found factors such as symptoms mislabeling, patient demographics, and diagnostic tests played a role in the missed diagnoses.
A recent survey found that most emergency physicians (over half of 1,074 respondents) encounter firearms at work annually, yet less than half feel confident in handling them. The study suggests that emergency physicians may benefit from educational interventions targeting firearms safety.
Around 1 in 20 NHS 111 calls lead to unnecessary emergency care visits, with factors like female sex and young age increasing the risk. The study analyzed 16 million calls and found that 83% of those advised against emergency care still visited within 24 hours.
A recent study by Stanford University examined the association between the Patient Protection and Affordable Care Act (ACA) and out-of-pocket spending among patients with traumatic injuries. The researchers found a significant increase in premium and out-of-pocket spending among patients who received care under the ACA.
Risk factors for transmission of coronavirus include flu-like symptoms, recent travel to China, and close contact with someone infected. Public health concerns highlighted by the outbreak include economic and social risks, misinformation, and anxiety-driven public behavior change.
A new study finds that ER patients rate their satisfaction with care equally for female or African-American doctors, contradicting fears about physician diversity. The study's results may alleviate concerns about quality reporting and patient biases in emergency medicine.
A study published in JAMA Network Open highlights the strain on Texas emergency departments from uninsured kidney disease patients seeking lifesaving dialysis. The researchers found that over 10,000 uninsured patients incurred $21.8 million in hospital costs for emergency dialysis treatments.
A new study finds that elder-friendly surgical care significantly improves outcomes for older patients after emergency surgery. The tailored treatment program assesses frailty, prevents infection, gets patients moving and home more quickly.
The new guidelines offer 29 evidence-based recommendations for managing adult acute and acute-on-chronic liver failure in the ICU, covering cardiovascular, hematologic, pulmonary, renal, and endocrine considerations. The guidelines also highlight areas needing further research to inform clinical practice.
A new PSU study found that decreasing out-of-network primary care across all Medicare ACOs could save the system $45 million a year. Higher specialty care leakage was associated with higher costs for ACOs, driven by outpatient care and emergency room visits.
Emergency medicine physicians at MCG are equipping rural hospitals with mobile carts for remote consultation and basic diagnostic tests, guided by MCG physicians. This partnership aims to enable rural hospitals to provide higher-level emergency care, reducing transfers to larger hospitals.
A study analyzing 9,295 patients in four Indiana hospital systems found that those with multiple ED visits, heroin use, and Medicaid or uninsured status were more likely to have future emergency department encounters. Consolidating patient information can improve risk assessment and treatment opportunities for at-risk patients.
A new study from George Washington University found that many dermatologists lack preparedness training for biological disasters. The survey of 200 dermatologists revealed only 28.9% received training in disaster preparedness and response.
A study published in Annals of Emergency Medicine found that cooling burns with running water decreases skin grafting requirements by over 40%, hospital admission by 35.8% and operating room treatment by 42.4%. Cool running water also accelerates healing, reducing scarring risk.
A new pilot study found that a 90-second magnetocardiography scan using CardioFlux Magnetocardiograph can help rule out coronary artery disease in patients presenting with chest pain. The test showed competitive results relative to stress testing and coronary angiography, with high specificity and negative predictive value.
A new study by the Keck School of Medicine of USC found that Los Angeles County's traffic conditions affect consistent access to comprehensive stroke centers (CSCs), particularly in socioeconomically disadvantaged neighborhoods. Nearly 20% of the population has intermittent access to CSCs, with many living in urban core areas.
A study by University of Alberta researchers found that virtual assistants such as Google Home and Alexa perform better than Siri and Cortana in providing accurate first aid information. However, even the top performers fell short, recognizing only 56% of topics correctly and giving accepted advice only 19% of the time.
Researchers found that modifying default settings for opioid prescriptions resulted in lower quantities prescribed. The study's findings suggest that reducing default settings can help improve prescription practices and protect patients from developing opioid addictions.
A recent case analysis published in JACEP Open reveals that vaping emergencies can be challenging to diagnose due to initial symptoms that resemble pneumonia. The study highlights the importance of accurate diagnoses, which typically involve ruling out other infections and conditions.
Researchers at UT Southwestern analyzed Medicare claims data to report no increased mortality risk in heart failure patients treated in observation units and emergency departments. The study suggests that end-of-life care transitions from hospital to post-hospitalization period may contribute to the observed increase in mortality.
A study published in Academic Emergency Medicine found that troponin testing for acute coronary syndrome (ACS) in selected elderly patients with nonspecific complaints (NCSs) may not be necessary due to a low diagnostic yield. The study revealed an elevated troponin in 20% of patients but only a 1.2% ACS rate.
A study published in Academic Emergency Medicine found that prolonged telemetry (over 12 hours) is a safe alternative to hospitalization for non-low-risk patients with syncope. The sensitivity of ECG monitoring is high, supporting the use of minimum 12-hour monitoring as a diagnostic tool.
Patients treated in a specialized resuscitation unit received faster treatment and better health outcomes, including a 36% lower risk of dying than those transferred directly to traditional intensive care units. The CCRU improved access to critical care resources and definitive surgical treatment.
A study by University of Chicago Medicine found that hospitals caring for patients in disadvantaged areas may garner lower quality scores due to social risk factors. Hospitals' ability to improve certain quality outcomes is hindered by these factors, such as income and education levels in the community.
A study found that Medicaid expansion under the Affordable Care Act (ACA) decreased coverage disruptions among low-income adults. The researchers estimated that half a million fewer adults experienced churning annually, leading to improved access to care and reduced emergency department visits.
A new study suggests freestanding emergency departments can lead to increased health-care costs and out-of-pocket spending for patients. Researchers analyzed insurance claims data from four states and found that entry of a freestanding emergency department was associated with a 3.6% increase in estimated out-of-pocket payments for emer...
Researchers found that out-of-network, non-emergency hospital costs rose rapidly from 2012 to 2017, affecting 16% of individuals with an average cost of $621. Average costs for emergency and non-emergency care increased significantly.
Patient visits to primary care physicians increased by 3.6% after Medicaid expansion, but ER department visits remained unchanged. The study found that factors such as data quality and state policies may limit the accuracy of findings.
A large study published in the New England Journal of Medicine found that high doses of vitamin D do not reduce mortality or improve non-fatal outcomes in critically ill patients. The Vitamin D to Improve Outcomes by Leveraging Early Treatment (VIOLET) study included over 200 researchers and showed no difference in mortality rates, hos...
A study published in Academic Emergency Medicine found that video discharge instructions in the emergency department lead to a clinically important reduction in acute otitis media (AOM) symptomatology. Children of parents who watched a five-minute video experienced less symptomatology compared to those with paper handouts.
A new study published in Academic Emergency Medicine found that Electronic Medication Complete Communication (EMC2) Opioid Strategy improved safe dosing of opioids, but not actual use. The intervention also boosted patient knowledge about medication risks.
The Michigan Medicaid expansion program successfully doubled access to primary care and increased the discussion of healthy behaviors among low-income residents. According to new studies, nearly 90% of enrollees reported reduced stress and worry due to HMP coverage, with many going without dental care they needed before enrollment.
Bystanders play a crucial role in saving cardiac arrest victims, with early emergency care by bystanders reducing the chance of survival by 7-10% per minute. Recognizing signs of cardiac arrest and performing CPR, including using an automated external defibrillator (AED), can significantly increase survival rates.
A study from Penn Medicine researchers analyzed online reviews of 539 Pennsylvania facilities to identify common themes associated with high-quality and low-quality care. The analysis found that five-star reviews were more likely to mention focus on recovery, staff helpfulness, and compassionate care, while one-star reviews were often ...
A novel mental health program, tMHFA, improves teenagers' ability to recognise and support friends at risk of suicide. Researchers found students who participated in the training were 35 times more likely to report adequate suicide first aid than those in a control group.
A new study published in Economic Inquiry reveals that prolonging emergency department wait times increases hospital costs, with moderate and severe cases bearing the brunt of the expenses. The study found a 3-6% cost increase for moderately severe cases and 6% for serious cases.
A study published in Academic Emergency Medicine found that Focused Cardiac Ultrasound (FOCUS) can significantly lower the likelihood of pulmonary embolism (PE) diagnosis in ED patients with suspected PE and abnormal vital signs. The results suggest that FOCUS can be an important tool in the initial evaluation of these patients.
A new study by University of Cambridge researchers confirms the 'weekend effect' in hospital mortality, which is attributed to junior doctors' tendency to admit lower-risk patients on weekends. Senior doctors' admitting patterns remain unchanged on weekends and weekdays.
A new UCSF study examines the use of medical, behavioral, and social services among frequent ED users, revealing their complex social needs and the need for care coordination. The researchers found that these patients are generally sicker than infrequent ED users and seek a wide range of services.
A retrospective study suggests that ED physicians are improving both outcomes and efficiency of care, with mortality rates declining by 23% from 2009 to 2016. This improvement occurred despite increasing ED utilization, as fewer patients were admitted to the hospital and more were sent home, leading to nearly 200,000 fewer deaths in 2016.
A new study found that early involvement of an infectious disease specialist in patients with severe sepsis leads to a 40% lower risk of death. The study, which included 248 ER patients, also found that antibiotic prescriptions were stopped more quickly when an ID consult happened early.
A UCSF study found that anti-immigrant rhetoric from the White House harms Latino patients' perceptions of safety and access to emergency care, with 75% of undocumented immigrants feeling unsafe. The study also showed that patients were afraid to come to the ED for care, delaying treatment by two days on average.
A study found that Trump's immigration statements made Latino immigrants feel unsafe and anxious, leading to delayed healthcare access. The survey of 452 undocumented immigrants revealed a significant impact on their perceptions of safety and emergency care.
A new study led by Swansea University reveals that girls are more likely than boys to be admitted to hospital after self-harming. The research found a significant gender disparity among 10-15 year olds, with three-quarters of girls in this age group being hospitalized compared to half of boys.
A study published in Academic Emergency Medicine found that providing financial incentives to forego testing significantly decreases patient preference for testing, even when accounting for test benefit and risk. Financial incentives also decreased patient preference for low-value diagnostic testing, such as CT imaging of the head.
The collaboration aims to develop and implement protocols, resources, and specialized care areas for geriatric emergency care in rural hospitals. The project will evaluate the effectiveness of telemedicine in extending the reach of a geriatric emergency department to rural facilities.