Articles tagged with Emergency Medicine
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A recent study published in the British Journal of General Practice found that patients with multiple long-term health conditions are more likely to attend emergency departments. The study analyzed data from over 800,000 patients in east London and found a significant link between socioeconomic deprivation and ED attendance rates.
A new study published in Prehospital Emergency Care suggests that risk management approach can combat EMS fatigue. The guidelines recommend limiting shifts to less than 24 hours, providing access to caffeine, allowing naps while on duty, and educating personnel on fatigue risk management.
A new emergency department program has been developed to reduce hospitalizations for older adults, with a focus on geriatric transitional care. The program, launched in 2013, has reduced hospital admissions among patients aged 65 and older by 33%, according to a recent study.
A study conducted at Mount Sinai Hospital found that transitional care nurses can significantly reduce the risk of inpatient admissions for geriatric patients. The program, which includes assessments for cognitive function and caregiver strain, led to a 10% lower chance of hospitalization for those treated by a transitional care nurse.
A new study published in Health Affairs finds that veterans receiving VA care have lower rates of excessive end-of-life interventions compared to those on Medicare. The research suggests that the financial incentives of Medicare's fee-for-service model drive higher-intensity care for patients nearing death.
A multimodal approach to peripheral intravenous cannula (PIVC) insertion in the emergency department has been shown to reduce unnecessary PIVC placements while increasing their utilization. This program benefits both patients and healthcare services, potentially leading to significant cost savings.
A multidisciplinary approach to identify and care for young women with ischemic stroke may lead to improved outcomes. The study proposes creating clinical decision rules, educational campaigns, and preventive strategies to address the unique challenges in this population.
A study found that private emergency departments refer patients to public hospitals with public options, resulting in duplicate testing and increased costs. This practice also strains hospital resources and poses risks to patients.
Researchers at GW and US Acute Care Solutions analyzed commercially-generated patient experience data from 2012-15, finding high variability and limited construct validity. Facility-level scores were shown to have greater construct validity than physician-level scores.
Despite efforts to streamline the process, UK child organ donation rates have failed to rise, with many families of dying children not being considered as donors. The authors argue that family refusal remains a major obstacle and call for improved consent rates and support for family decision-making.
A new study published in Annals of Internal Medicine found that personalized blood glucose goals can save an estimated $234 billion nationwide over time, mainly due to lower medication costs. The approach also improves quality of life compared to uniform intensive control.
A new web-based tool, Learning Moment, tracked medical students' learning experiences and found that most took place in patient rooms. The study concluded that the bedside remains an important component of medical education for students entering multiple specialties.
A risk score identifies children at low risk for submersion-related injury who can be safely discharged from the emergency department. The Pediatric Submersion Score is a proposed guideline developed using sophisticated statistical methods, providing valuable information for future management of low-risk childhood submersion.
A study published in Academic Emergency Medicine found that prehospital use of supraglottic airways is linked to better neurological outcomes in cardiac arrest patients who receive cardiopulmonary resuscitation. The study suggests that SGA may improve oxygenation, supporting its continued use in emergency medical services.
A study published in Academic Emergency Medicine found that intranasal ketamine had more minor side effects such as bad taste and dizziness compared to intranasal fentanyl in children with suspected extremity fractures. No significant differences were observed in efficacy or pain relief between the two drugs.
Applying traffic rule exemptions enables rapid response vehicles to reach patients faster, with average response times reduced by 14 minutes. This could be critical for patients who are critically injured or sick, suggesting that the increased risk of road collisions may be justified.
A UK study found that older patients experiencing more discontinuity of care in general practice are at a higher risk of emergency hospital admissions. Patients with the least continuity had a risk of admission twice as high as those with complete continuity.
The UC Davis Department of Pediatrics has received a $2 million grant to fund a new telemedicine program for children in remote communities. The program will provide physiatry care for kids with cerebral palsy, spina bifida, and other disabilities, improving quality of life and preventing complications.
A new study published in the Emergency Medicine Journal found that adopting four clinical standards for emergency care in English hospitals did not reduce excess deaths on Saturdays and Sundays. The study analyzed data from 123 hospital trusts and found no association between standard adoption and weekend death rates.
A large international study found that primary care consultations last less than 5 minutes for over half the world's population, with significant variations between countries. Shorter consultation times have been linked to poorer health outcomes and burnout among doctors.
A new program at Boston Medical Center's Grayken Center for Addiction has shown promising results in engaging patients with substance use disorders in medication treatment during hospital stays. The study found that 70% of patients initiated methadone treatment and 49% linked to an outpatient clinic were still engaged in treatment afte...
A new study measures the causes behind the US health care spending increase, attributing 50% to price and intensity of services. The analysis reveals that factors like population growth, age, disease prevalence, and utilization drive most of the spending increase.
A team from Michigan Medicine proposes a data-driven, insurer-funded approach to make surgery safer and less expensive for all; the Value Partnership model has saved lives and dollars at 72 Michigan hospitals, with potential for federal help to accelerate nationwide adoption.
A new study found that smokers who received financial incentives, in addition to personalized support, were nearly 10 times more likely to quit smoking after six months compared to those in the control group. The intervention also showed significant reductions in smoking rates among older participants, women, and non-white smokers.
A randomized, double-blind study found that haloperidol reduces nausea and pain in patients with acute gastroparesis, suggesting it as a promising adjunctive therapy. The addition of haloperidol to conventional therapy is better than conventional therapy alone without side effects.
Consultants argue that the four-hour wait target remains essential for driving flow through the urgent care system, reducing mortality rates. Experts caution that abandoning the target could worsen hospital overcrowding and performance issues due to perverse incentives.
A standardized eight-step ambulatory surgery care protocol reduced patients' postoperative pain and unplanned returns to the emergency room after surgery. The protocol emphasized patient preoperative education and preferential use of monitored anesthesia care, significantly reducing rates of unplanned visits.
A study found that asthma prevalence and emergency department visits vary widely among different NYC neighborhoods. Pollutants like nitrogen dioxide and elemental carbon are associated with greater urgent asthma care in lower-prevalence areas, especially among children.
A single-center study compared outcomes of 222 hip fracture patients treated before and after implementing the Perioperative Surgical Home (PSH) model. PSH patients had reduced mortality rates, fewer ER visits, and higher discharge rates to home care.
Tufts Medical Center joins a new initiative to advance critical emergency medicine research with the Strategies to Innovate EmeRgENcy Care Clinical Trials Network (SIREN) Network. The SIREN Network will conduct large-scale clinical trials to test new treatments in cardiology and neurology.
A recent Regenstrief Institute study explores the impact of health information exchange on patient outcomes in emergency departments. The research reveals that access to complete medical records via health information exchange may lead to reduced hospitalizations, improved decision-making, and better patient care.
A new study by University of Maryland School Medicine researchers found that nearly half of all US medical care is delivered by emergency departments. Emergency department visits increased by 44% over a 14-year period, with African-American patients and those without insurance using these services at a higher rate.
PrEP prescriptions increased by 976% in NYC between 2014 and 2016, but men of color, women, and those outside city centers were less likely to receive the HIV prevention medication. Many medical students and healthcare providers remain unaware of PrEP's benefits, highlighting the need for education and outreach programs.
The SIREN network pools resources to boost patient numbers for emergency medicine clinical trials, targeting vulnerable populations and life-threatening emergencies like heart attacks, lung disease, trauma, and more. The network aims to improve treatments and outcomes for patients in critical care situations.
Medicare beneficiaries who receive home health services from lower-quality agencies are more likely to experience higher rates of hospital admissions and emergency department visits. Home health care is a critical area for addressing healthcare disparities, particularly among vulnerable populations.
A community-based program, Bridges to Care, reduced ED visits and hospital admissions while increasing primary care use among Medicaid-eligible high ED users. The program provided intensive medical, behavioral health, and social care coordination services.
The UNC School of Medicine will use the grant to develop a new protocol for Afib patients, allowing them to receive care in outpatient settings. The goal is to reduce hospitalizations and improve patient engagement in their own health.
Emergency room patients prescribed opioids are less likely to become long-term users, with prescriptions exceeding 7 days decreasing by 84-91% in ER settings. This study suggests that adherence to CDC guidelines may contribute to reduced opioid misuse.
Women earn less than men regardless of rank or training, with women leaving careers due to advancement issues. Underrepresented minorities are underrepresented in senior positions and promotions across all levels
Researchers developed an electronic triage tool to improve patient care in emergency departments, identifying critically ill patients and assigning priority treatment levels. The tool showed equal or improved identification of patient outcomes compared to the existing emergency severity index (ESI) based on a multi-site retrospective s...
A new study published in Academic Emergency Medicine found no association between prehospital advanced cardiac life support and survival for patients with out-of-hospital cardiac arrest. Instead, the study suggests focusing on increasing bystander CPR, decreasing response times, and defibrillation.
A new study finds that many pediatric emergency department physicians do not discuss firearm injury prevention when discussing overall injury prevention issues. Despite the importance of primary prevention, only half as many clinicians provide counseling on firearm injury prevention compared to other topics.
Two studies funded by PCORI will compare strategies to improve care-management transitions for adolescent and young adults with sickle cell disease. The projects aim to reduce emergency department visits, hospital admissions, and improve quality of life among young adults with the condition.
A study published in Academic Emergency Medicine found that patients with limited health literacy are more likely to visit the emergency department for potentially avoidable reasons. The researchers propose that targeted interventions can reduce preventable ED visits and improve healthcare efficiency.
A recent study found that 3.3% of all emergency department visits were avoidable, with the top causes being alcohol abuse, dental disorders, and depressive disorders. Increasing access to dental and mental health facilities could reduce these visits, providing treatment at a lower cost elsewhere.
A new University of Michigan study found that tired family caregivers are associated with greater ER visits and higher overall health care costs for the person they care for. Patients with fatigued or sad caregivers had 23% higher emergency department visits and $1,900 more in Medicare costs.
The University of Arizona College of Medicine - Tucson is part of a team selected for the Strategies to Innovate EmeRgENcy Care Clinical Trials Network (SIREN), a new initiative by the National Institutes of Health. The SIREN grant aims to improve emergency care and clinical outcomes through large multi-site clinical trials.
PCORI's Board of Governors approved nearly $74 million for seven studies on palliative care. The projects will compare different strategies to deliver care and examine their impact on quality of life, hospitalizations, and caregiver burden.
A recent study found that the opioid crisis has led to a significant increase in ICU admissions and deaths in US hospitals, with an estimated nearly double increase in deaths from opioid overdoses. The study also revealed that the cost of caring for these patients increased significantly during this period.
A new healthcare delivery model proposes partnering ERs with primary care to address failing health in underserved areas. This approach aims to connect patients to other physicians and resources, improving overall rural population health.
A new study found that nearly one in five family medicine physicians accepted payments from pharmaceutical companies related to opioids, while anesthesiologists received the most total annual payments. The study suggests that pharmaceutical companies may have a stronger hold on how doctors prescribe opioids than previously known.
A recent study published in Academic Emergency Medicine found that physician implicit racial bias does not directly affect treatment decisions, but may contribute to healthcare disparities. The study suggests that biases may indirectly influence patient outcomes and warrants further research.
A study by Cathy Bradley found that small cash incentives and interactions with health program coordinators can increase primary care visits among low-income individuals, reducing emergency department use and improving patient care. The study showed a significant reduction in costs overall.
The National Institutes of Health (NIH) has awarded a grant to advance emergency care in Southern California. The Strategies to Innovate EmeRgENcy Care Clinical Trials Network (SIREN), led by LA BioMed, aims to conduct large-scale clinical trials to improve patient outcomes for cardiac arrest, trauma, and other medical emergencies.
A new study from NUI Galway has identified vinegar and heat as the best treatment for lion's mane jellyfish stings. The findings, published in Toxins, recommend rinsing with vinegar or a commercial product to remove tentacles and then immersing in hot water for 40 minutes.
Researchers found that Medicaid expansion under the ACA reduced total emergency department visits in Maryland by nearly 36,000, with a 6% increase in Medicaid-covered visits and a 6% decrease in uninsured patient visits. The study suggests that while the ACA did not immediately reduce emergency department utilization, it provides incre...
A study found that 67% of pet owners surveyed couldn't accurately recognize veterinary emergencies, with many calling out-of-hours services for convenience or reassurance. Veterinary practices can help by providing guidance on emergency conditions and training receptionists in telephone triage.
A study published in Academic Emergency Medicine found that integrating clinical decision support into electronic medical records decreases high-cost imaging utilization, especially among higher users. This standardizes care delivery and improves compliance with evidence-based guidelines.
A new study by MIT economists reveals that hospitals investing more in inpatient care yield better results than those relying on skilled nursing facilities after discharge. This is particularly true for elderly Medicare recipients, who experience lower mortality rates when receiving quality initial care.
A study by The Ottawa Hospital found that delayed emergency surgeries are associated with a higher mortality risk, longer hospital stays, and increased healthcare costs. The researchers also identified reasons for delays, including lack of operating room or staff availability.