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.
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A new study by Rice University experts found that freestanding emergency departments increased average emergency department spending by 3.6% per insured beneficiary in Texas, Florida, and North Carolina. In contrast, entry of a freestanding emergency department resulted in higher out-of-pocket payments for emergency care in three states.
A novel intervention integrating psychological values-based approach with coordinated care management significantly improved daily functioning for vulnerable patients. The 'values-based' approach identified patients' values and goals to engage them in appropriate care, reducing hospital costs and improving quality of life.
A study by Oregon State University found that the state's accountable-care model led to decreases in unscheduled, preventable hospitalizations among Medicaid enrollees. The model emphasizes primary care, disease prevention, and population health measurements, which may promote more efficient healthcare resource use.
A new clinical trial investigates the effectiveness of whole-body cooling in comatose patients after a cardiac arrest, with a focus on optimal cooling duration. The study aims to improve neurological recovery rates and full recovery in cardiac arrest survivors.
A monthly phone call from a care team navigator can suppress depression and improve quality of life for dementia caregivers. The 12-month study found a significant decrease in caregiver depression and a notable increase in patient quality of life.
A study by University of Bristol researchers found that a named GP scheme did not lead to improved continuity of care or reduced emergency hospital admissions among older patients. Instead, it increased the risk of emergency hospital admissions, particularly among those aged over 75.
The new national guideline provides evidence-based treatment options for people with severe opioid use disorder, including injectable opioid agonist treatment with prescription heroin and hydromorphone. The guideline aims to reduce overdose deaths by supporting health care providers in delivering life-saving treatments.
The study implemented randomized quality improvement projects across NYU Langone Health, finding that changing prompts for tobacco cessation counseling increased medication prescription rates. Post-discharge phone calls were largely ineffective in improving patient satisfaction or hospital readmissions.
A study from Brigham and Women's Hospital found that emergency clinicians can use the 'surprise' question to identify patients at greatest risk of near-term death, prompting essential end-of-life conversations. The analysis revealed a strong correlation between clinician responses and patient mortality, with those who answered they wou...
A $40,000 grant from The Emergency Medicine Foundation is supporting a study to increase awareness among parents about sepsis signs in children. Researchers hope this will lead to improved recognition strategies and faster diagnosis of sepsis.
A new study published in Academic Emergency Medicine found that unexpectedness, health and social conditions, lack of support from family or friends, and structural issues like job market and affordable housing availability contribute to homelessness. The findings suggest gaps in current homeless prevention services and can inform futu...
A multicenter randomized controlled trial confirms an electrical-first approach is more effective in restoring sinus rhythm and shortening ED length of stay. The study found that patients managed with this strategy were discharged within four hours at a higher rate than those receiving a chemical-first approach.
A national study found that black and Hispanic patients are more likely to be transported to safety-net hospitals compared to white counterparts living in the same zip code. The research also showed that ambulance diversion practices can exacerbate health disparities.
A study using Medicare claims data found that Black and Hispanic patients were less likely to visit the same ED as white patients living in the same area. Patients from these racial/ethnic groups were more likely to be transported to a safety-net ED, highlighting disparities in emergency care.
A Penn Medicine study found that simple emoji buttons installed in emergency departments can monitor doctor and patient sentiments in real-time. The findings suggest that the terminals are used at a high level, providing valuable insights into trends and sentiment shifts.
Post-opioid overdose interventions are emerging in the US to provide support to survivors and reduce future overdose risk. The interventions often involve collaboration between emergency departments, law enforcement, and public health departments.
Hospitals with lower pediatric readiness scores have significantly higher mortality rates among critically ill children, highlighting the importance of preparedness in emergency care. The study suggests that efforts to improve hospital preparedness could save lives and guide policy responses.
A study found that pay-for-performance programs can reduce access block but may also lead to discharges associated with return visits and admissions. The program's effectiveness depends on the inclusion of specific targets, such as admission time.
A recent survey found that half of key hospital doctors in the UK are ill-prepared to respond to major incidents. The study, published in Emergency Medicine Journal, suggests that the situation hasn't improved since 2006, with many doctors lacking knowledge of their organization's major incident plans.
A new system detects abnormalities in elderly heart rates and temperatures, triggering drone-delivered first aid. The wearable device monitors vital signs wirelessly and quickly alerts caregivers via smartphone notifications.
A new study from American Cancer Society investigators reveals that cancer survivors enrolled in high deductible health plans (HDHPs) are more likely to report delaying or foregoing medical care due to cost concerns. Meanwhile, individuals with HDHPs who also have health savings accounts (HSAs) may experience less delayed care.
Conversion therapy practices cause significant harm, including depression, suicidal thoughts, and economic burdens. Physicians advocate for education reform to better identify patients who underwent or may be undergoing conversion therapy.
A study found that 9% of patients with acute pain conditions continued opioid use 3 months after discharge from the emergency department. Most patients used opioids to manage initial or new pain, not misuse. The study highlights the need for non-narcotic methods to treat acute pain and further research on chronic pain mechanisms.
A randomized controlled trial found that ultrasound-guided IV line placement increased first-attempt success rates to 85.4% compared to traditional methods at 45.8%. Children's Hospital of Philadelphia researchers report a significant reduction in needle sticks and improved patient satisfaction.
The updated guideline prioritizes early diagnosis, prompt intervention, and reduced unnecessary tests to improve patient outcomes. Enhanced emphasis on patient education and shared decision-making aims to optimize care for patients with sudden sensorineural hearing loss.
A study by Duke University researchers found that children's common ailments like vomiting and fever require pediatric versions of therapies, which are often lacking in airline first-aid kits. Most incidents were handled by flight crew members, but parents should carry on medications for their children to ensure prompt treatment.
A new study found that women and racial/ethnic minorities are underrepresented in US emergency medical services, with less than a quarter of newly certified paramedics being female. The gaps are more pronounced among paramedics, who provide critical invasive interventions and make complex decisions.
The American College of Emergency Physicians warns that generic mobile phone chargers can cause serious injuries, including burns and electrocutions. Teens and adolescents are particularly at risk due to their frequent mobile device use.
A new study published in Annals of Emergency Medicine found that 15.5% of in-flight medical emergencies involve children, with one in six cases requiring additional care. Parents can take steps to avoid emergencies by carrying their child's medicine on the plane and being mindful of potential health issues.
A new study found that having an intensive care unit within the emergency department improved care and survival rates for all emergency department patients. The study, which examined Michigan Medicine's own EC3 unit, observed a decrease in mortality rates and ICU admissions among emergency department patients.
A national study reveals children without insurance are 3.3 times more likely to be transferred for mental health emergencies than those with private insurance. The study highlights inequities in care based on insurance coverage, creating additional burdens on the patient, family, and healthcare system.
A new study published in PLOS Medicine found that intranasal sufentanil is non-inferior to IV morphine for acute severe trauma pain, offering a faster and more convenient alternative. The study involved 136 patients who received either intranasal sufentanil or IV morphine, with similar pain relief results at 30 minutes.
A new study from Michigan Medicine found that nearly 12% of patients with acute ankle sprain injuries filled an opioid prescription within seven days of diagnosis. Additionally, 8.4% of individuals who had not previously taken opioids were prescribed them three months after the original diagnosis.
A multicenter study found that antibiotic stewardship interventions can significantly reduce overuse of antibiotics for viral acute respiratory infections. By implementing a bundle of evidence-based strategies, institutions can cut antibiotic overuse by one-third, even among high-performing systems.
A study published in Academic Emergency Medicine found that pediatric emergency medicine physicians are at risk for developing compassion fatigue, burnout, and low compassion satisfaction. The researchers recommend improving interpersonal relationships, work environment, and self-care to enhance provider well-being and patient care.
An observational study found caregiver depression associated with more emergency department visits for patients with dementia, including a 0.7 increase in visits per person-year. Caregivers with depression had higher rates of ED use (1.5 vs. 0.8 visits) compared to those without depression.
A study of 456 acute gout patients found that over 28% received opioid prescriptions, with many lasting longer than the typical gout attack. Diabetes and prior opioid use increased the likelihood of receiving opioids.
A large study found that people with both physical illnesses and mental disorders experience a significant increase in frequent visits to emergency departments, compared to those with multiple physical illnesses or mental illness alone. This synergy between physical multimorbidity and mental disorders can lead to a greater impact on pu...
A new study published in Annals of Emergency Medicine highlights the potential for emergency departments to reduce low-value imaging tests and associated costs. By analyzing data from a statewide quality network, researchers estimate that implementing benchmark standards could avoid $3.8 million in annual spending on unnecessary care.
The M-RISE program aims to develop innovative therapies to prevent brain damage caused by cardiac arrest, with a focus on early treatments delivered by bystanders and first responders. The program will explore neuroprotective agents and strategies to improve survival rates and outcomes for patients affected by cardiac arrest.
A new study by Carnegie Mellon University researchers found that repeat ER users in states with Medicaid expansion shifted their use of the ED toward more severe conditions requiring hospitalization. The study also found a similar increase for illnesses not easily avoided by outpatient care.
A UC Davis study found that educating physicians and patients about safe antibiotic use can reduce overuse by one-third. The study compared two approaches, including educational materials and on-site physician champions, and found significant reductions in inappropriate antibiotic treatment.
A study by Regenstrief Institute researchers found that only 30% of patients reported having some form of advance directive, but only 16% had one on file in their electronic medical record. This lack of documentation can lead to complex situations for care providers and loved ones.
A new study found that 64,686 children under five were treated in US emergency departments for personal care product injuries from 2002 to 2016. Most injuries occurred when children ingested or exposed themselves to these products, leading to poisonings and chemical burns.
A new study by Johns Hopkins researchers found that five-star hospitals offer fewer services compared to non-five star hospitals. Five-star hospitals are less likely to have emergency departments, intensive care units, and other specialized services.
A study by Children's National Hospital found that only 54.1% of teenagers diagnosed with chlamydia or PID filled their prescribed antimicrobial treatments, highlighting barriers to treatment adherence for this high-risk population.
The policy statement recommends optimizing stroke systems of care with standardized triage protocols, public education initiatives, and comprehensive post-stroke care. The goal is to maximize patient outcomes in acute stroke care, addressing disparities among racial and ethnic minorities.
At SAEM 2019, experts like Rebecca Cunningham emphasized the need for gun safety beyond 'gun control', focusing on injury prevention. Meanwhile, a study found opportunities to reduce over-testing in emergency departments through data analysis and targeted quality improvement initiatives.
Northeast Ohio Medical University has received a $500,000 grant from the Ohio Department of Mental Health and Addiction Services to collaborate with other Ohio medical schools on developing a comprehensive curriculum for pain management and opioid use disorder treatment. The project aims to improve systems of prevention and treatment f...
A study by Sophie Terp, MD, MPH, found nearly one in five EMTALA penalty settlements involved psychiatric emergencies. These cases were more costly and often associated with failure to stabilize than nonpsychiatric emergency cases.
A study published in Academic Emergency Medicine found that half of syncope patients undergo CT head scans, yielding a diagnostic rate of 1.2% to 3.8%. The authors caution against indiscriminate use and recommend future studies to develop a prediction tool for optimal CT head use.
Researchers found that certain surgeries, such as colorectal and cardiovascular surgeries, increase the likelihood of patients continuing to refill opioid prescriptions. Generalist nurse practitioners and physician assistants may also be overprescribing opioids, suggesting a need for education and better oversight.
A new model developed by the Regenstrief Institute provides chaplains with a framework to deliver better care to families of patients in intensive care settings. The Spiritual Care Assessment and Intervention (SCAI) framework helps chaplains provide proactive, semi-structured spiritual care to meet family members' needs.
A study by Johns Hopkins Medicine researcher Junaid Razzak found a 6% increase in deaths due to emergency conditions between 1990 and 2015. The mortality burden was highest in low-income countries, with injuries, heart attacks, lung infections, and strokes being the top causes.
A team at Vanderbilt University is developing 'safe harbor' standards of care based on scientific evidence to reduce defensive medicine and its consequences. The project aims to lower healthcare costs, improve quality of care, and decrease patient exposure to radiation.
A New Zealand-Australian study has found that using two anti-convulsant medications one after the other can increase the success rate of stopping prolonged seizures in children by up to 75%. This breakthrough treatment may halve the number of children ventilated and sent to intensive care, improving their chances of recovery.
A new study found that children who had telemedicine visits for acute respiratory infections were more likely to receive antibiotics than those who visited primary care offices or urgent care centers. The use of unnecessary antibiotics during these visits may contribute to antibiotic resistance.
Researchers found that uninsured and Medicaid patients are more likely to be transferred from emergency departments, discharged without admission, or admitted to hospitals with limited critical care services. Financial incentives for hospitals may contribute to these disparities in access to acute hospital care.
Research finds that student loan forgiveness incentives influence new doctors' choice of specialty, with 35% of top-debt-quartile physicians practicing in primary care after using loan forgiveness programs. The article emphasizes the need to expand these programs to address the growing shortage of primary care physicians.
The Jim and Julie Cardwell Fund has gifted $750,000 to Texas Tech University Health Sciences Center El Paso to establish an endowed chair in neurology. The chair will be supported by a $1.5 million fund, aiming to increase the number of neurologists available for the El Paso community.