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.
A new ICU model, called LOTUS, has been developed by Rutgers and RWJBarnabas Health System to improve patient care. The model prioritizes patient-centered care, empowering social workers to address underlying issues that lead to health emergencies.
A study found that pharmacists in accident and emergency departments can provide overall clinical care to patients, taking on roles such as examining and diagnosing patients. With their medicines expertise, they fill gaps in doctor and nurse practitioner rotas.
The UK is failing to provide universal health coverage to undocumented child migrants by charging them for healthcare, contravening the UN Convention on Rights of the Child and Sustainable Development Goals. The policy has led to poor health outcomes, underuse of services, and obstacles in identifying children at risk.
A study published in Academic Emergency Medicine found that the gender-based salary gap persists among academic emergency medicine physicians, with a $12,000 disparity remaining unchanged. The study suggests that deliberate strategies be developed to train employers on preventing gender bias and prioritize pay parity.
A study published in Academic Emergency Medicine found that female academic emergency medicine physicians are less likely to hold the rank of full professor compared to their male counterparts. Only 17% of female emergency physicians were associate or full professors, highlighting a significant disparity in representation and advancement.
A simple method to measure continuity of care has been developed, showing benefits for patients, including lower mortality rates. The new St Leonards Index tracks continuity on a monthly basis in practices with personal patient list systems, aiming to help GPs improve continuity and patient care.
A study led by McMaster University found that providing additional health-care services to help heart failure patients transition from hospital to home does not improve their outcome. Despite this, patients receiving the intervention reported improvements in discharge preparedness and quality of life.
A study by University of Pennsylvania researchers found that patients' words, such as 'told', frequently convey frustrations with poor communication. These feelings are strongly associated with low ratings and negative reviews.
A Queensland-based Research Support Network, launched in 2015, significantly increased the number of active research projects among emergency departments from 36 to 144. The program also led to a fourfold increase in collaborative projects and a tripling of research ideas aimed at patient care.
A study published in Academic Emergency Medicine found no association between FQHC access and lower ED use rates among uninsured and Medicaid-insured patients. The study suggests investigating additional intervention points beyond primary care access to reduce ED overuse in vulnerable populations.
A Canadian Medical Association Journal study found that women are less likely than men to receive geriatric care during hospitalization for emergency hip surgery. Women from low-income neighborhoods and those with dementia were also excluded from receiving anesthesiology consultations before surgery.
Americans with primary care receive more recommended cancer screenings, flu shots, and reported better patient experience compared to those without. Primary care also leads to better overall healthcare access.
A study by Vanderbilt University Medical Center found that freestanding emergency departments (FSEDs) charge significantly more than urgent care centers, even with lower annual patient volumes. FSEDs experienced a decrease in patient volume between 29.5% and 94.8% after converting from urgent care centers.
A study published in the Emergency Medicine Journal found that paramedics' hand hygiene compliance is remarkably low, with only 15% of instances adhering to recommended standards. The over-reliance on gloves indicates a tendency towards self-protection rather than patient protection.
Geriatric frequent users are more likely to have multiple chronic conditions and require more resources and medical interventions. The most common conditions among these patients include diabetes, kidney disease, and congestive heart failure.
A study published in Academic Emergency Medicine confirms that patients treated with naloxone for opiate overdose can be safely discharged from the emergency department after one hour. The study found minimal risk of adverse events and suggests the St. Paul's Early Discharge Rule as a useful predictor of high-risk patients.
A novel online questionnaire found that most CFS patients do not receive proper care in EDs, with only a third receiving appropriate treatment. Researchers call for more training on the disorder to improve patient outcomes.
A study found that nearly one-third of non-urgent ED visits in Ontario can be managed by pharmacists with an expanded scope of practice, reducing crowdedness and free up resources for more acute cases. The most frequent ED cases that could be managed include skin-related concerns and other minor conditions.
A new clinical review recommends medication-assisted treatment for patients experiencing opioid withdrawal, which can help ease them into longer-term treatment and recovery. Buprenorphine is the preferred medication for most patients, particularly in emergency department settings.
Researchers developed a new guideline to safely discharge patients who have received naloxone for suspected opioid overdose. The study found that most adverse events occurred in patients with normal examinations, suggesting the current one-hour observation period is sufficient.
Studies from Massachusetts General Hospital examine the presence of pediatric areas in EDs and use of telemedicine for pediatric emergency care. An intervention increased the appointment of Pediatric Emergency Care Coordinators in Massachusetts EDs, a key step to improve pediatric emergency care.
Contact lens wearers are advised to remove their lenses before sleeping to avoid microbial keratitis, a potentially serious infection. Proper eye care is crucial to prevent such health issues.
Researchers urge employers to integrate mental health first aid into a broader system of support for employees. The Institution of Occupational Safety and Health recommends a 'prevention first' approach that tackles root causes of mental health issues through good management and organizational culture.
A new care model at Nemours Children's Hospital reduces the use of medication for children with autism spectrum disorders in emergency visits. The REACH Program uses distraction objects and rewards to manage anxiety and agitation, leading to improved patient experiences.
A study published in Academic Emergency Medicine finds that children and adolescents who survive firearm injuries have increased long-term mortality rates compared to those who survive nonviolent trauma. The study identifies socioeconomic disparities as a key factor in these disparities.
A nationwide study of cardiac arrests found ambulances took nearly four minutes longer to handle calls from low-income areas than high-income communities. The study highlights the importance of ensuring access to care for vulnerable populations.
A new study found that transfusions of packed red blood cells stored for 22 days or more are associated with a 5% increase in mortality risk in trauma patients. The study suggests that patients who require massive transfusions may benefit from receiving fresh stored packed red blood cells, or those stored for 14 days or less.
A systematic review of 15 studies found no strong evidence to support the effectiveness and safety of diverting low-need patients from emergency departments. The strategy was also not effective in reducing subsequent use of emergency care services.
A UK population-based study found nearly one in five ICU survivors die within one year after discharge. Increased hospital use before and after ICU stay is associated with a higher risk of death, along with older age, multiple medical conditions, and organizational factors indicating high system stress.
A screening tool can identify child sex trafficking victims presenting with high-risk health complaints in a pediatric emergency department. The study suggests that this tool presents minimal risk of harm and does not require significant extra time or resources.
Hands-Only CPR training kiosks are effective in teaching life-saving skills in minutes, increasing bystander intervention and improving survival rates. The study found that kiosk sessions outperformed video-only sessions in raising awareness and teaching techniques.
A study analyzed over 100,000 Yelp reviews to identify key themes in emergency department and urgent care center ratings. Emergency departments received high marks for bedside manner but low marks for speed of care, while urgent care centers excelled in ease of prescription refills but struggled with patient confidence.
A recent study published in Academic Emergency Medicine demonstrated that long-term follow-up in a trauma patient population is feasible. The study used established contact strategies and various interview locations to track hard-to-reach populations. Researchers suggest exploring newer methods of contacting participants through techno...
Research suggests that the Affordable Care Act's Medicaid expansion helped low-income families access more comprehensive care, leading to a significant drop in emergency department visits by uninsured patients in Illinois. The study found a 40% reduction in uncompensated care in emergency departments between 2009 and 2015.
A study by Brigham and Women's Hospital found that 15.7% of emergency department visits could be denied coverage based on discharge diagnoses. Patients may face difficulties self-determining their medical needs, highlighting the need for alternative solutions.
A recent study published in the Emergency Medicine Journal found that simply eyeballing patients may be more effective than using a formal structured assessment to prioritize those who are the sickest. The researchers compared the triage decisions made by experienced nurses and phlebotomists with medical students, finding that basic cl...
Research shows ALD patients have worse outcomes in intensive care unit (ICU) with lower survival rates and higher risk of emergency hospital admissions. The study emphasizes the need for better community services for alcohol addiction and management of long-term conditions.
A study published in Academic Emergency Medicine suggests that intravenous, low-dose ketamine is as effective as intravenous morphine in controlling acute pain in adults in the emergency department. The findings indicate that ketamine can be considered as an alternative to opioids for ED short-term pain control.
A study published in CMAJ found that immigrant and refugee youth are more likely to visit emergency departments for new mental health issues, highlighting gaps in access to outpatient mental health care. The study suggests that barriers to primary care services, including language and cultural differences, contribute to this issue.
A brief assessment of emergency department (ED) threat perceptions can identify patients at risk for developing cardiac-induced PTSD. The study developed a seven-item measure to assess subjective feelings of helplessness or lack of control in ED patients evaluated for acute coronary syndrome.
Boston Medical Center (BMC) is leading a $3.2M education program to educate hospital providers on how to counsel women about contraception use, particularly long-acting reversible contraception methods. The program aims to improve birth control options for pregnant women and reduce unwanted pregnancies.
A new accelerated diagnostic protocol, HEART Pathway, is effective in identifying low-risk ED patients with acute chest pain who can be safely sent home without hospitalization or comprehensive cardiac testing. The study found a 6% reduction in hospitalizations and significant decreases in median length of stay and use of stress testing.
An observational study found significant differences in survival rates for patients treated by different EMS agencies, with odds of survival varying more than 50% between two agencies. The study included nearly 44,000 adults and treated by 112 EMS agencies in the US and Canada.
A new information tool helps parents make informed decisions about their children's care after minor head trauma, leading to increased parent knowledge and reduced healthcare utilization. However, the tool did not reduce the rate of CT imaging in emergency departments.
A visual aid designed for parents of children with minor head injuries helped them communicate with emergency medicine physicians and make informed decisions about their child's care. Parents who used the decision aid had better understanding of symptoms, relative risk of brain injury, and pros and cons of CT scans.
A recent UA study found that Arizona EMTs have a 39% greater risk of suicide compared to the general public. The study's authors aim to address this issue by developing educational resources and resiliency training programs for EMTs. Their efforts hope to minimize the risks associated with EMS service and support community heroes in need.
The American Geriatrics Society unveiled a suite of online tools to aid surgeons in caring for older adults, with nine interactive clinical scenarios exploring unique challenges and opportunities in surgical care. The tools aim to improve care for the growing population of older adults undergoing surgery.
A study found that patients with higher continuity with their prescribing physician received fewer risky opioid prescriptions and were less likely to be hospitalized for opioid-related causes. However, long-term opioid use was associated with lower continuity scores than other medications, highlighting the need for improved prescribing...
Researchers found a decline in snakebites during droughts and an increase after rainy periods. Climate change exacerbates extreme weather events, leading to more snakebites.
The new guidelines standardize a framework for recognizing, treating and managing a child's recovery from mild traumatic brain injury. Key recommendations include screening for risk factors, safe prescribing and education for children and families.
A study published in JAMA Internal Medicine finds that urgent care visits have increased significantly while emergency room visits for low-acuity conditions have decreased by 36 percent between 2008 and 2015. The growth of urgent care centers is attributed to their convenience, shorter wait times, and lower costs.
A new CDC treatment guideline for children with concussions provides guidance on diagnosis, management, and follow-up care. The guideline recommends validated symptom scales for diagnosis and assessing risk factors for prolonged recovery.
A new analysis suggests that improving communication strategies can improve treatment protocols for at-risk casualties in chemical exposure incidents. The study recommends introducing an immediate 'disrobe and dry' decontamination stage, which enables first responders to reassure victims and start providing instructions.
Researchers found a 3% better survival rate for patients who received laryngeal tube (LT) devices on scene compared to traditional intubation breathing tube methods. The study showed that LT devices could potentially save over 10,000 lives annually.
A new study published in Academic Emergency Medicine finds that risk adjusting for race and poverty improves the apparent performance of hospitals treating large numbers of nonwhite or poor patients. The study's lead author recommends including sociodemographic adjustment in payment models to prevent harm to vulnerable populations.
Research reveals that hospitals struggle to collect forensic evidence from rape kits, with only a third of eligible patients completing the process and handing over evidence to police. Survivors face complex legal systems and potential trauma, emphasizing the need for proper support in emergency care departments.
A program keeping elderly aged care residents out of hospital emergency departments has been successful in reducing demand on emergency services. The 'Hospital in the Nursing Home' program saw a 47% decrease in hospital admissions among aged care patients, with an estimated economic benefit of AU$8 million per year.
Research published in BMJ Paediatrics Open found a link between parental depression and increased healthcare needs among children. The study revealed a 41% increase in emergency department attendance among children of depressed parents.
A new study in Academic Emergency Medicine found that emergency department testing for HCV increased monthly screenings by 6,000 percent. The program successfully diagnosed and treated 292 active infections, with 155 cases falling outside the CDC's birth cohort for high-risk individuals.
The Pediatric NEXUS Head Computed Tomography Decision Instrument (DI) reliably guides blunt trauma imaging decisions and may decrease head CT imaging in low-risk pediatric populations. The study found that the decision instrument could significantly reduce head CT utilization by up to 34%.