Articles tagged with Emergency Medicine
A nationwide analysis found that emergency Medicaid accounted for less than 1% of overall Medicaid spending in states with large undocumented populations. States with larger undocumented populations spent more per capita, but still faced minimal cost savings from cuts to emergency Medicaid.
Researchers tested a user-carried safety device that prolongs survival under snow and gains valuable time for rescue operations. The study found that the device can sustain a buried person with patent airways for over 35 minutes.
A study published in Blood Advances found that individuals with sickle cell disease who were triaged appropriately received their first dose of pain medication within 60 minutes, while those triaged at lesser severity levels waited nearly three times as long. The researchers analyzed the impact of emergency severity index (ESI) assignm...
A new national report from the University of Warwick's Out-of-Hospital Cardiac Arrest Outcomes (OHCAO) team has revealed that only 13.2% of children who suffer a cardiac arrest outside hospital survive. Children under one year old are at the highest risk, making up 40% of cases in the under 18s.
A cross-sectional study found that high nurse workload and shift-level staffing ratios exert direct effects on reliable care delivery in neonatal intensive care units. High staffing ratios above 2 infants per nurse are recommended targets for workload reduction.
Rural patients face significantly longer emergency medical services call times due to limited access to specialized trauma centers. High-acuity activations are more common in rural areas, resulting in extended transport times.
The study found that AI scribes significantly reduced burnout, cognitive task load, and time spent documenting, allowing more time for meaningful work and professional well-being. The findings suggest that AI can help alleviate administrative burdens and improve patient access to care.
A comprehensive program in urgent care clinics and emergency departments significantly increased HIV testing for patients being evaluated for other sexually transmitted diseases. The program resulted in a 42% increase in HIV testing in urgent care clinics and a 53% increase in Intermountain emergency departments.
A new study examines the radiology department's experience during a mass casualty terror attack in southern Israel. Researchers found that rapid staff mobilization, versatile imaging resources management, and AI-enabled safety checks were crucial in guiding clinical decisions.
Research presented at the European Emergency Medicine Congress finds that doctors and nurses are more accurate than AI in triaging patients in emergency departments. While AI showed some promise in flagging critical cases, its overall accuracy was lower than clinicians' across most metrics.
A study of 676 patients who experienced out-of-hospital cardiac arrest found that neurological outcomes were similar regardless of socioeconomic background. However, lower-income areas had lower bystander CPR rates, suggesting disparities in pre-hospital care.
Researchers developed a collection of blood tests that assess genetic activity patterns in immune cells to reveal patient immune states. These tests could help physicians determine diagnosis and care protocols for patients with suspected infections or critical conditions, providing more accurate diagnoses and treatment guidance.
A study suggests that nasal sprays are as effective as injection devices like EpiPens in delivering adrenaline to counter anaphylactic shock. The sprays can reach the bloodstream faster, with similar levels of adrenaline seen in blood plasma, and have a longer shelf life.
A pilot study found that hypnosis significantly improved patients' tolerance of masks, allowing them to breathe more comfortably. The study showed a substantial improvement in non-invasive ventilation (NIV) tolerance, reduced agitation, and lower requirements for sedation and anti-anxiety medication.
In a first-of-its-kind study, researchers found that unplanned, premature births outside hospitals in Austria posed significant challenges for emergency teams. The study identified key findings on how to improve outcomes for mothers and newborns, including the importance of standardised protocols, training, and equipment availability.
The survey found that while job satisfaction was generally positive, with an average score of 25.37 out of 36, career development opportunities, work organisation, and workload received relatively low scores. Nurses and paramedics reported higher satisfaction levels than physicians, particularly in workload and organisational aspects.
Researchers evaluated over 3,000 ischemic stroke patients and found that telestroke patients were 1.6 times more likely to receive clot-busting drugs, but took nearly seven minutes longer to receive treatment after arriving at the hospital. The study highlights clear gaps in timely treatment for these patients.
Dr. Langlois and his team will support large-scale scientific research, protect vulnerable communities, and strengthen Canada's ability to face future health emergencies. The High-Throughput Facility infrastructure will rapidly detect and track new infectious disease threats while protecting people and communities.
A nationwide study found patient death rates increased in emergency departments of U.S. hospitals acquired by private equity firms, with staffing cuts and salary reductions proposed as likely explanations. The researchers also found transfers of patients to other hospitals and shortened stays in intensive care units.
A portable device using machine learning can detect signs of concussions in real-time, providing a more objective way to assess injuries. The Mizzou Point-of-Care Assessment System combines a force plate, depth camera and interface board to track movement, balance and reaction times.
A new study found significant racial disparities in the care of patients with ST-elevation myocardial infarction (STEMI) in Florida. Hispanic and non-Hispanic Black patients were less likely to receive percutaneous coronary intervention (PCI), a recommended treatment, compared to non-Hispanic white patients. This disparity resulted in ...
New research shows that music therapy significantly decreases heart rate, systolic blood pressure, and patient-ventilator asynchronies for patients admitted to the cardiac intensive care unit (ICU). Music therapy is a safe, low-cost, non-pharmacological intervention that complements conventional treatments.
In Gaza's 'Medical Points,' temporary medical centers, an average of 117 people are treated daily with only about 7 staff members per center. Despite severe shortages, these facilities play a critical role in providing care to those in need.
Researchers developed an autoinjector device delivering TXA, a proven treatment for severe bleeding, with comparable effectiveness to traditional IV methods. The device can be used by paramedics and first responders to administer treatment quickly and easily, potentially saving lives in emergency situations.
A new study found that the end of COVID-era federal funding led to a significant increase in uninsured children visiting emergency departments in Texas, with 45.2% more visits than before. The share of commercially insured patients also rose 12.5%, while Medicaid-insured visits declined by 11.7%.
The Mount Sinai Hospital has completed a six-phase redesign of its Emergency Department, featuring innovative advancements and expanded clinical space. The new ED is equipped with cutting-edge technology and tools to enhance patient care and workflow.
A simulation study suggests that deploying food delivery riders to deliver defibrillation can reduce automated external defibrillator response times by approximately three minutes, reducing patient waiting time for defibrillation. The approach offers a cost-effective and scalable strategy for improving cardiac arrest outcomes in high-d...
A new article by Dr. Leonard Berry of Texas A&M University argues that values-driven listening can improve care and heal the healthcare system. The authors identify six types of listening, including proximate, curious, earning trust, aided by design, empowering, and fostering resilience, which contribute to better care.
Researchers from the University of South Australia have identified a potential early warning system for Takotsubo syndrome in ICU patients using electrocardiogram patterns and blood markers. Critical care nurses with advanced ECG skills can play a key role in recognising early signs of the condition.
A multicenter study of 4,257 pneumonia patients reveals three distinct clinical phenotypes with varying responses to corticosteroid therapy. Precisely dosed intravenous methylprednisolone improves survival rates in the most severe group, Phenotype C.
A study led by Lancaster University found that social and environmental factors impact a patient's physical readiness for surgery. Patients from socioeconomically deprived areas tend to have lower cardiorespiratory fitness, which can lead to poorer surgical outcomes.
High humidity exacerbates extreme heat's negative impact on cardiovascular health, increasing the risk of heart-related emergencies by six times. Researchers analyzed over 340,000 emergency room visits in Dhaka, Bangladesh, finding a significant association between high heat and humidity levels.
In US cities once marked as 'hazardous,' ambulances often take longer to arrive than in previously favored areas. The study analyzed 236 urban areas and found that 7.06% of residents in Grade D tracts lacked rapid access to emergency medical services, compared to 4.36% in Grade A tracts.
A cohort study found that hospitals with poor financial health were less likely to provide essential perinatal services. This disparity was more pronounced in Southern and rural regions.
Researchers developed a new engineered protein-based therapy called RcoM-HBD-CCC, which acts like a sponge to soak up carbon monoxide from the blood. The therapy was tested on mice and showed promising results, clearing half of the carbon monoxide in the blood in less than a minute.
A national study calls for increased vaccine screening in emergency departments to address health inequities. The study found that nearly a third of the US population lacks primary care access and rarely receives vaccination screenings.
Historically redlined areas experience reduced rapid emergency medical services access due to strategic resource allocation and system redesign being warranted. The study highlights the need for targeted interventions to address these inequities in prehospital emergency care.
A national study finds that the percentage of patients who wait four or more hours for a hospital bed has increased significantly, with even lower rates during non-peak months. The issue, known as 'boarding,' has become a major concern, putting patient safety at risk and straining emergency departments.
A study found that nearly 70% of children under 13 involved in fatal car crashes were not using proper child passenger restraints. Inappropriate practices included premature transitions to less protective seats and riding without seatbelts. The study highlights the need for innovative, targeted programs to promote correct use of age-ap...
Researchers found that taking blood thinners like warfarin does not significantly increase the risk of brain bleeding after blunt head trauma, contradicting previous assumptions. In fact, patients with poorly controlled warfarin activity had the highest bleeding risk.
A national study found that healthcare providers exhibit varying levels of stigma towards patients with substance use disorders (SUD), particularly for opioid and stimulant use. This stigma leads to missed opportunities for care and is often embedded in clinical encounters.
A new study found that less than 5% of children admitted to hospital with suspected sepsis met the Phoenix Sepsis Score, highlighting the need for more accurate measures to diagnose sepsis in children. The research also showed that the current clinical tool failed to detect cases early and underestimated the overall burden of disease.
A study of 22 million urgent care visits found 12.4% of patients received antibiotics, 9.1% glucocorticoids, and 1.3% opioids for generally inappropriate diagnoses. The trends highlight the need for improved clinician knowledge, patient demand, and decision support.
A new study reveals that at least 160 million patients annually are unable to receive surgery, with LMICs bearing the brunt of the crisis. The report emphasizes the need for urgent investment and highlights key recommendations to strengthen essential services for tomorrow's needs.
A study published in Pediatrics reveals a sharp surge in nicotine pouch ingestions among young children, with a 763% increase in rate of reported cases between 2020 and 2023. The ingestion rates for other nicotine products declined during the same period.
The journal is seeking original research, viewpoints, and tutorials exploring the use of AI-driven documentation in clinical settings. Submissions should address practical applications, challenges, and future directions of AI-facilitated clinical documentation.
Dr. Andy Jagoda has received the Edward W. Gilmore Lifetime Achievement Award for his significant contributions to emergency medicine education, leadership, and quality improvement. The award recognizes his lifelong commitment to advancing emergency medicine in New York City.
A new study found that a nontargeted screening approach can identify more patients with hepatitis C virus infections than traditional targeted screening methods. The results highlight the need for improved treatment models, as patients who went from diagnosis to sustained virologic response increased significantly.
Researchers at UTA and UT Southwestern Medical School developed an adaptive spine board overlay that redistributes pressure more effectively than traditional evacuation surfaces. The device features sensor-driven pressure modulation and autonomously adjusts air-cell pressure to maintain optimal distribution for each patient.
Researchers developed an AI model that converts fragmented electronic health records into readable narratives, enabling artificial intelligence to make sense of complex patient histories. The Multimodal Embedding Model for EHR (MEME) transformed tabular health data into 'pseudonotes' that mirror clinical documentation, achieving superi...
Research from Ann & Robert H. Lurie Children's Hospital of Chicago found that neurological crises, psychiatric conditions, and substance abuse were the most common reasons for school-based medical emergencies. The study highlights the need for schools to prioritize staff training and availability of key medications.
A new study from the University of Bath found that inappropriate polypharmacy is a major driver of emergency hospital admissions among adults aged 65 and over. The researchers developed a digital tool to proactively identify older adults at risk of medication-related harm, which could reduce preventable emergency hospitalisations.
A new study found that Black emergency department patients are less likely to be treated with opioids, but when their preferences are not met, they are at a higher risk of misusing opioids three months later. Patients who were satisfied with their pain care had lower rates of opioid misuse.
A new book written by an international team from Carnegie Mellon University and the University of Oxford argues that data-driven decision-making can improve healthcare outcomes. The authors explain how analytics can be used to optimize hospital operations, manage bed allocation, and improve treatment efficiency.
Academic medical centers can transform patient care by adopting learning health system principles, harnessing real-time data analysis and AI to improve patient outcomes. The proposed model aims to establish a smarter, more efficient and equitable care model by integrating diverse databases and leveraging AI for personalized, proactive ...
A new UVA Health study finds that stocking two twin packs of epinephrine autoinjectors and having campers leave their own at home is the most cost-effective strategy for residential camps. This approach comes with an estimated overall cost of $4.33 per camper.
A new study reveals six 'closed loop' barriers that prevent doctors from using point-of-care ultrasound, leading to missed opportunities for life-saving interventions. The researchers propose practical steps to address these cultural and practical challenges, aiming to increase POCUS uptake and benefit patients.
Researchers from Florida Atlantic University's Charles E. Schmidt College of Medicine aim to reduce falls and adverse drug events among older adults by using personalized approach tailored to individual genetic profiles.
A team of scientists from Colorado State University and the University of São Paulo have developed a seismological solution to improve the resolution of ultrasound images for lung monitoring. This breakthrough could lead to improved critical care for patients, including continuous lung monitoring at the bedside. The technique uses seis...
Researchers will analyze course of illness, confirm ingested substances, and provide real-time data for better care. The study aims to predict effects of emerging opioids and deliver timely alerts to doctors and public health agencies.