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.
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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.
The study found variations in antibiotic prescribing patterns among different outpatient settings, including urgent care centers, retail clinics, and emergency departments. These variations suggest differences in patient mix and the potential for unnecessary antibiotic use, particularly for viral respiratory infections.
A new study found that one in four working-age adults with type 1 diabetes experienced at least one gap of 30 days or more in their private health insurance, leading to a five-fold increase in emergency room visits and hospital stays. The gaps resulted in higher blood sugar levels and decreased satisfaction with life.
A new study published in Annals of Emergency Medicine found that pelvic exams lack reliability and provide little new information for diagnosing sexually transmitted diseases (STDs) in adolescent females. The study's authors argue that rapid urine STD testing provides a more accurate and less invasive way to diagnose these diseases.
ER patients often want more than just a diagnosis; they seek reassurance, symptom management guidance, and navigation of the healthcare system. Research reveals that addressing these concrete needs can improve patient care outcomes.
A study of nearly 1000 emergency care patients found that visible body art has no discernible impact on perceived professionalism or competence. Patients rated doctors with tattoos and piercings highly for qualities such as caring attitude, approachability, and trustworthiness.
Researchers found that hospital occupancy levels, particularly in the middle range, were associated with a lower risk of C. diff infections. When the hospital was between 25 percent and 75 percent full, the risk of infection was more than three times higher compared to less than 25 percent or more than 75 percent occupancy.
A pilot study found nearly half of ED-arrival mothers screened positive for PPD, highlighting the need for routine screening in emergency departments. Interventions improved mental health outcomes and family support, with many participants thanking healthcare providers for follow-up care.
A new study published in JAMA Internal Medicine finds that hospital at home (HaH) care reduces length of stay, hospital readmissions, emergency department visits, and transfers to skilled nursing facilities. HaH also improves patient experience and satisfaction rates compared to traditional inpatient care.
Research suggests that standardized online and in-person courses are falling short and need improvement to optimize retention and mastery. The American Heart Association recommends adopting best practices in education, such as mastery learning, spaced practice, and feedback, to enhance CPR skills.
A study published in Academic Emergency Medicine found that most emergency department patients want some degree of involvement in decision making, but will wait for a clinician's invitation. The study recommends clear explanations and avoiding misdiagnosis of patient preferences based on verbal cues.
A new study by St. Michael's Hospital found that one in three adults with intellectual and developmental disabilities (IDD) visit the emergency department annually. Effective primary care can reduce these numbers by increasing continuity of care and preventive measures.
A review of current evidence published in Annals of Emergency Medicine suggests that emergency department-facilitated transitions to outpatient care with Medication-Assisted Treatment (MAT) lead to healthier patient outcomes. MAT improves long-term outcomes, reduces fatal overdose risk and hospitalizations.
Primary care providers report that the Healthy Michigan Plan has helped patients manage their health, detect problems early, and improve their ability to work and live independently. The plan's coverage has also led to better adherence to prescribed medicines and improved emotional well-being among patients.
A new analysis reveals that rural areas struggle to retain emergency physicians, while advanced practice providers like nurse practitioners provide disproportionately more emergency care. The study highlights the need for targeted training and policy changes to address these workforce gaps.
A new study found that after the Affordable Care Act's expansion, Medicaid and uninsured patients had improved access to health services outside of emergency departments, leading to a decline in frequent ED use. Frequent ED users were responsible for 30.7% of visits before the legislation and 31.6% after coverage was expanded.
A study published in JAMA Ophthalmology found that US pediatric eye injuries decreased by 26.1% from 2006 to 2014. Most of these injuries had a low risk of causing permanent vision loss. In contrast, sports and household-related injuries increased, while motor vehicle crashes, gun-related incidents, and chemical burns declined.
Drowning deaths often result from cardiac events rather than 'dry drowning.' Experts emphasize the need for precise terminology and strategies for increasing oxygenation. The American Red Cross suggests patients seek care if symptoms worsen after water inhalation.
A comprehensive analysis of Medicaid expansion found significant improvements in various health outcomes, including increased insurance coverage among adults without a college degree, higher use of primary care and preventive services, and reduced reliance on emergency departments. The study also reported declines in short- and long-te...
A study found that cost was the strongest factor in decreased desire for diagnostic testing, with patients willing to forego tests due to financial burden. Implementing financial considerations to alter testing behavior may be necessary to address this issue and improve healthcare outcomes.
The University of Cincinnati will examine the effectiveness of combining tissue plasminogen activator (tPA) with either argatroban or eptifibatide in treating acute ischemic stroke patients. The five-year NIH grant will enroll 1,200 patients across the US and assess outcomes at 90 days post-stroke.
Researchers found that many patients with mild traumatic brain injury (TBI) do not receive educational materials or see clinicians for follow-up care after emergency department discharge. Persistent symptoms can impact their daily lives and require additional medical attention.
A new study found that many patients with traumatic brain injuries (TBI) and concussions do not receive adequate follow-up care after hospital discharge. The study revealed that approximately half of the patients saw a general practitioner, while about half were discharged without TBI educational materials.
A large-scale study found that inpatient opioid use and insufficient weaning before discharge may increase outpatient opioid prescriptions. Nearly half of patients who received opioids during hospitalization were more likely to report outpatient opioid use within 90 days.
The updated 'Hour-1 Bundle' introduces five critical steps for treating sepsis immediately upon recognition, including measuring lactate levels, performing blood cultures, and administering broad-spectrum antibiotics. This revised bundle aims to further reduce mortality rates among patients with sepsis by beginning treatment promptly.
Half of primary care patients face social challenges, leading to poorer health outcomes and reduced access to preventive services. More complex cases were associated with higher rates of ambulatory and emergency care visits.
A study analyzed 154,498 NSCLC and 27,834 SCLC patients who died on or before December 31, 2013, revealing racial-ethnic disparities in end-of-life care quality. Minority patients had higher odds of preventable medical encounters, delayed hospice referral, and aggressive chemotherapy during end-of-life.
A snapshot survey of over 120,500 US Airbnb rentals found that most properties had smoke detectors but fewer had fire extinguishers or first-aid kits. The study suggests that further investigation and intervention are needed to ensure adequate fire safety in these venues.
A study found that providing clinicians with timely and actionable feedback on their opioid prescribing data significantly decreases future opioid prescribing among those who underestimate their baseline prescribing. This intervention may help combat the opioid epidemic by addressing inaccurate provider self-awareness.
A new analysis highlights that undocumented people in certain states may get more medical help due to the current administration's effort to give states more flexibility with their health care spending. States like Florida and Texas have already received permission to increase funding for safety-net hospitals, leading to a 50-70% rise ...
The SAEM18 Annual Meeting will feature six plenary presentations on various topics in emergency medicine, including laryngeal tube vs endotracheal intubation and socioeconomic status and bronchiolitis severity. The meeting aims to advance academic emergency medicine through education, research, and advocacy.
A recent study found that paramedics using the new drug droperidol sedate patients nearly 70% quicker than those receiving midazolam, with fewer side effects. The Queensland Ambulance Service introduced droperidol in 2016 to reduce violence against paramedics.
A study published in Critical Care found that blood type O patients had a death rate of 28% after severe trauma, compared to 11% for patients with other blood types. The researchers suggest that lower levels of von Willebrand factor may be linked to higher hemorrhage rates and increased mortality.
A recent study published in CMAJ found that patients who received home care visits from nurses were more likely to visit the emergency department during the evening on the same day. The likelihood of this occurrence was greater among people with non-urgent issues and those who had not been admitted to hospital.
Patients presenting with high specificity and positive likelihood ratio for acute aortic dissection should be suspect. Findings such as hypotension, pulse deficit, or neurologic deficit are key indicators of the condition.
A study from the University of Missouri found that electronic medical record documentation and direct patient care are the most common workflow interruptions in emergency departments, leading to increased workloads and decreased efficiency. The research suggests that changes in workflow could improve patient care and nurse productivity.
Project ASSERT, a peer education program at Boston Medical Center, has been awarded the American College of Physicians' Richard and Hinda Rosenthal Award. The program uses team-based counseling to provide alcohol and substance use services, education, and referral to treatment for over 60,000 patients since 1994.
The transfer of stroke patients out of smaller community hospitals has increased significantly since 2006, with national rates doubling between 2006 and 2014. This trend highlights the need for better coordination between hospitals to determine which patients require transfer to specialized centers.
Dr. Tony Rosen, an emergency physician, was awarded the Jeffrey H. Silverstein Memorial Award for his research on programs to address elder abuse. Most programs focus on raising awareness and public education, but only a few use high-quality study designs.
A recent study published in Academic Emergency Medicine found that patients with one or more high-risk clinical features are at high risk for acute aortic dissection. The study also identified that patients with no high-risk and multiple low-risk features are at low risk for the condition.
A man developed excruciatingly painful episodic headaches after eating a Carolina Reaper, the world's hottest chilli pepper. His symptoms cleared up on their own, and a CT scan later showed that his affected arteries had returned to normal width.
A new protocol for treating fentanyl overdoses has shown that most patients can be safely discharged within two hours of arrival if given the antidote promptly. The study found that only one in nine patients required hospital admission, and complications were extremely rare.
A nationwide analysis of over 41,000 older patients found that one-third died in the hospital after receiving intubation. The study highlights the need for informed decision-making about emergency intubation for elderly patients and their families.
The Pittsburgh Atlas creates hundreds of regional referral regions to coordinate emergency and trauma care in the US, respecting geopolitical borders. The framework allows states and groups of counties to implement quality improvement programs accountable to regional performance measures.
A study found that 65% of emergency department physicians underestimated their opioid prescription rates, but rates decreased after they saw their actual data. The researchers believe this change was due to the shock of seeing the reality of their actions versus their perceptions, priming them to make a change.
The study found that using Asthma APGAR tools reduced asthma-related emergency department, urgent care, or hospital visits by 50% and improved asthma control by 14% compared to usual care. The tools also increased adherence to National Asthma Education and Prevention Program guidelines.
Researchers have created a new tool to help clinicians diagnose appendicitis in children, reducing the use of CT scans and healthcare expenditures. The calculator uses data from ten pediatric emergency departments and independently validated results using data from a single children's hospital.
A new study found that patients in primary care networks had significantly fewer emergency department visits and shorter hospital stays. The analysis of data from Alberta, Canada, suggests a province-wide program to promote team-based primary care can effectively reduce ED use.
New guidelines aim to improve care transitions for adults with DMD, emphasizing psychosocial issues, care coordination, and quality of life. Revised recommendations focus on preventing disease complications through prevention, earlier diagnosis, and better treatment.
Exertional heat stroke is a life-threatening condition in athletes that requires immediate cooling to prevent critical cell damage. The recommended treatment protocol 'cool first, transport second' prioritizes rapid cooling of the body to less than 104.5 degrees F within 30 minutes.
A study found that commonly used ICU risk scores can be adapted to provide continuous updates on the severity of illness in critically ill patients. The scores, including APACHE, SOFA, and DRS, showed good accuracy in predicting mortality risk and were more responsive to changes in patient condition.
Using an automated external defibrillator (AED) increases cardiac arrest survival, especially when applied by a bystander before emergency responders arrive. The American Heart Association found that nearly 66% of victims who received a shock from a publicly-available AED survived to hospital discharge.
Researchers found that Scottish hospitals experienced a slower reduction in inpatient deaths, with 0.3% of patients dying in elective admissions and 6% in emergency admissions, compared to 0.1% and 4% in England. The study's authors call for further investigation into the reasons behind these differences.
Thousands of appointments were cancelled during the 2016 junior doctor strikes in England, with effects greatest when emergency care was withdrawn. Admissions and A&E attendances also declined significantly, highlighting the need for improved healthcare systems to mitigate staff shortages.
The study found high-quality care for ordering brain imaging and administering antithrombotic agents, but gaps in care for processes like statin prescriptions, carotid artery imaging, and electrocardiography. Patients discharged from the Emergency Department without admission to a VA hospital had lower quality care.
A study of US insurance claims found that children whose families visited a doctor in the previous year were less likely to experience complications from appendicitis. The research suggests that establishing a relationship with a primary care doctor can lead to prompt emergency care and lower complication rates.
Research found that early access to palliative care significantly improves end-of-life quality indicators for patients with advanced cancer. Patients who received palliative care were more likely to die in a hospice or at home, rather than a hospital, and had better access to pain relief drugs.
The American Stroke Association honored 10 scientists and researchers for their significant contributions to stroke research, including Joanna Wardlaw, Walter Koroshetz, Jun Chen, and others. The award recognizes their work in investigating and managing clinical stroke science, basic stroke research, and more.
A study published in Academic Emergency Medicine found that training on synthetic and live tissue models did not result in a difference in performance for five critical procedures. The results suggest that further study is needed to determine the effectiveness of simulation training for emergency medicine and trauma teams.
A new study found that one in three low-income renters face housing instability, linked to poor health outcomes and material hardships. Housing instability was associated with increased odds of adverse health outcomes, including poor caregiver health and food insecurity.
A new study by USC Schaeffer Center for Health Policy and Economics found that doctors' offices are the main source of prescription opioids, accounting for 83% of prescriptions in 2012. This contrasts with emergency departments, which accounted for only 4.4% of opioid prescriptions during the same period.