Articles tagged with Emergency Medicine
A study found that using smartphones to deliver lab results to attending physicians reduced discharge time by 26 minutes for chest pain patients. This innovation could improve emergency department flow and reduce waiting times.
A study published in Academic Emergency Medicine found that point-of-care ultrasound (POCUS) assessment is accurate, timely, and associated with low pain levels and high caregiver satisfaction. POCUS was compared to X-ray for diagnosing distal forearm fractures in children, yielding a sensitivity of 94.7% and specificity of 93.5%.
A study published in Annals of Emergency Medicine found that prednisone did not provide additional relief for emergency patients with hives. Antihistamine levocetirizine alone achieved full itching relief within 2 days for 76% of patients.
A Johns Hopkins Medicine research team successfully flew a specialist to a stroke patient, improving outcomes and reducing costs. The study demonstrates the feasibility of helicopter-based care for time-sensitive procedures like catheter-based treatment.
Researchers at the University of Hawaii have found that man o' war sting first aid should be based on evidence, not traditional practices. Vinegar rinses and hot water treatments are effective in neutralizing venom and reducing pain, while seawater rinses can worsen stings.
A new study by MIT researchers found that Medicaid patients wait 4.6 minutes on average to start an appointment, compared to 4.1 minutes for privately insured patients. The disparity in wait times is largely due to the type of provider seen, with Medicaid recipients more likely to visit practices with longer wait times.
Health promotion advocates in pediatric emergency rooms identify young people experimenting with substances and connect them with necessary resources and treatment. Over four years, advocates screened 2,149 patients for risky behaviors and referred 81% to substance use disorder treatment services.
A study published in CMAJ found that team-based primary care practices in Quebec had lower rates of emergency department visits and death among older or chronically ill patients after hospital discharge. The researchers attributed this to better coordination of care, which reduces hospital readmission and death.
Research reveals that only one in five children with suspected child abuse-related serious injuries is treated at a designated major trauma centre. These children face nearly three times the mortality risk as those injured unintentionally.
Researchers used extensive interviewing and focus group methods to explore asthma treatment goals. A three-step qualitative process identifies patient-relevant concepts, ranks them, and refines assessment questions for concept measurement. The study suggests assessing symptom improvement, medication access, medication use, and asthma k...
A new study by ER docs shows that administering medications via the nose can be a helpful option for certain patients, especially children. Intranasal administration of midazolam, fentanyl, naloxone, ketamine, and dexmedetomidine can provide effective pain relief and seizure treatment.
A study found that adding a question about blood thinner use improves sensitivity for identifying traumatic intracranial hemorrhage. Researchers analyzed charts for 2,100 patients and suggested that medication history should be available to EMS providers to ensure timely treatment.
A new study recommends that pharmacies offer naloxone universally to patients taking opioid medications, without a prescription requirement. This could lead to a significant decrease in opioid-related overdose deaths.
The study found that freestanding emergency departments charge significantly higher prices than urgent care centers, with average costs ranging from $1,351 for common diagnoses to $2,199. This can lead to substantial out-of-pocket costs for patients and increased health care costs for insurers.
A new study published in the British Journal of Surgery found that day of the week did not affect survival chances of people undergoing emergency surgery. Researchers analyzed over 50,000 emergency surgery cases in Scotland and found no evidence to link day of the week to an increased risk of death.
A study found that children with suspected appendicitis receive better diagnostic evaluation and reduced radiation exposure when ultrasound services are available 24/7. Hospitals can improve care by adding in-house coverage for ultrasound.
A new study found that telemedicine-equipped ambulances can deliver faster stroke care, with average treatment times reduced by 33 minutes for CT scans and 40 minutes for clot-busting drugs. This technology enables neurologists to evaluate and treat patients on the way to the hospital.
Women tend to react with anger when presented with the prospect of riding in an automated ambulance, reducing their willingness. Men are more prone to respond with fear or happiness, increasing their willingness. The study suggests that education and awareness could help offset these emotional responses.
A RAND Corporation study found that direct-to-consumer telehealth services prompt new use of medical services, leading to increased spending. Despite the convenience and lower costs associated with telehealth visits, only 12% of telemedicine visits replaced traditional office visits, while 88% represented new use of medical services.
A study found that female emergency medicine residents receive lower scores than males across all sub-competencies, despite initial equality. The gap widens as training advances, with males receiving higher evaluations and milestone attainment rates.
A new study validates the Ottawa Heart Failure Risk Scale (OHFRS) as a reliable predictor of serious adverse events in acute heart failure patients. The OHFRS, combined with NT-ProBNP blood test results, improves prediction accuracy, enabling safer hospital discharge decisions and reducing unnecessary admissions.
Emergency medicine residents are evaluated on 23 categories, but by the end of their third year, males receive higher scores and advance faster, while females trail behind. The study highlights the need for faculty physicians to be aware of gender bias in residency training.
A study of nearly 12,000 records found that community-based palliative care reduced emergency department visits for dying patients by an average of two times per year. Patients receiving palliative care were more likely to live in urban areas and have a partner, leading to significant reductions in ER visits.
A double-blind, randomized clinical trial found that patients treated with naproxen and placebo had outcomes as good as those treated with naproxen and diazepam (Valium) for acute lower back pain. By three months after visiting the emergency department, most patients had recovered completely regardless of treatment.
A new study reveals that nearly one in four people who seek emergency care for eye problems have mild conditions, such as conjunctivitis or blepharitis, that don't require emergency treatment. The researchers recommend ways to reduce inappropriate ER visits, including telemedicine and after-hours appointments.
A new study found that states pay higher costs for care and patients face greater pain and psychological distress when they do not receive scheduled dialysis treatments. The research highlights the need to reconsider professional and societal approaches to end-stage renal disease (ESRD) for undocumented patients.
High-concentration peroxide ingestion has been linked to life-threatening ailments such as seizure, stroke, and respiratory distress, with a mortality rate of 6.8%. Early treatment with hyperbaric oxygen can improve outcomes.
A study published in The BMJ found that continuity of care with a general practitioner is associated with lower hospital admissions for ambulatory care sensitive conditions among older patients. Patients who saw the same GP more frequently experienced almost 9-12% fewer admissions.
A study published in Academic Emergency Medicine found that lung ultrasound enhances pretest risk stratification for pulmonary embolism, detecting alternative diagnoses such as pneumonia or pleural effusion. This improves diagnostic accuracy and reduces unnecessary radiation exposure.
A recent study published in Annals of Emergency Medicine found no association between intravenous contrast media and acute kidney injury. The research, which analyzed five years of records, showed that the probability of developing acute kidney injury was higher for patients receiving unenhanced CT scans.
A new healthcare model integrating obstetrics, gynecology, pediatrics, and behavioral health has significantly reduced the utilization of emergency services and hospital days for pregnant women and their newborns. The study found annual savings of over $800,000 for pregnant women and $1.6 million for newborns.
Experts discuss four core ethical issues: whether death is beneficial, PAS/E vs. WWLST, intentional causation of death, and reasonable accommodations. Proponents argue for legalization, while opponents highlight moral differences.
A new study from the University of Missouri Health Care found that using electronic health records can improve patient care on warfarin after discharge. The EHR system provides a comprehensive health summary for each admitted patient, making it easier for providers to access and manage warfarin therapy.
A study published in Academic Emergency Medicine found that physicians consistently underestimate ACS risk for women and minorities, despite objective assessments suggesting higher risk. The study suggests that the ED evaluation of chest pain has become protocolized, immune to unconscious bias.
A new study found that the Affordable Care Act (ACA) improved health care access and utilization among Latinos, but persistent disparities persist. The study suggests expanding the law to undocumented immigrants could help combat these disparities.
A study by Yale researchers found that older adults who visit the emergency department (ED) are at increased risk for disability and decline in physical abilities up to six months later. The discharged group had significantly higher disability scores than the control group, and were also more likely to be living in a nursing home.
A recent study published in Annals of Emergency Medicine reports a case of a 6-year-old child who ingested liquid nicotine from an e-cigarette, requiring intubation and ICU admission. The patient's mother had mixed the liquid herself, resulting in a highly concentrated substance that caused severe symptoms and altered mental status.
Patients with mental health emergencies in Massachusetts wait an average of 16.5 hours for hospital admission and 21.5 hours for transfer to another facility compared to 4.2 hours for medical patients.
A retrospective observational study found that patients receiving CT scans for atraumatic headaches in the emergency room were less likely to return within 30 days. The study suggests that CT scans may provide reassurance to patients, preventing return ED visits.
Researchers have found that using medical skin glue can significantly reduce IV drip failure rates due to infection, pain, blockage or falling out. By reducing the need for replacement, doctors can save staff time and free up valuable healthcare resources.
A study published in Mayo Clinic Proceedings found that newborn telemedicine consultations can positively impact patient care by providing enhanced access to neonatologists. This resulted in one-third of babies being able to stay with their families in the local hospital, increasing the value of care and potential cost savings.
Researchers found that palliative care treatment reduced hospital admissions and difficult transitions for older adults with serious illnesses in nursing homes. Palliative care consultations earlier in the illness also improved outcomes.
A new study by RAND Corporation found that retail clinics near hospital emergency departments did not reduce visits to emergency departments for minor health ailments. The study examined over 2,000 emergency departments across 23 states and found no significant reduction in low-acuity visit rates despite increased retail clinic access.
A study found that retail clinics near emergency departments had little effect on reducing low-acuity visits to them. The growth of retail clinics led to a small decrease in emergency department visits only among patients with private insurance.
The Center for Regenerative Medicine at Boston Medical Center and Boston University School of Medicine has received three prestigious NIH awards totaling over $9 million to further its commitment to induced pluripotent stem cell (iPSC) research and education. These awards will support the development of stem cell-based treatments for v...
Every year, approximately 30,000 sports-related eye injuries in the United States result in ER visits, with most cases occurring among children under 18. Basketball and cycling are identified as the most common causes of these injuries. Protective eyewear can significantly reduce the incidence of such injuries.
A new study shows that implementing the WHO Trauma Care Checklist Programme at hospitals worldwide led to substantial improvements in injury care, with increased consistency of care and reduced mortality among severely injured patients. The checklist is a simple tool emphasizing key life-saving elements of initial injury care.
A clinical trial found that patients with large kidney stones passed them more often when treated with the prostate drug Tamsulosin, offering potential relief from painful conditions. The treatment may also allow patients to be treated closer to home, improving care and reducing costs.
A new mobile application, DentaCom, captures and transmits images of dental emergencies to provide dentists with the information needed to make decisions. The app guides individuals through a series of questions, allowing them to complete a guided report and take photos within four minutes.
Research reveals that 35% of patients presenting to emergency departments in Ghana tested positive for alcohol, with certain groups showing higher rates. The study highlights the need for low- and middle-income countries to conduct their own research on alcohol-associated injuries, as global estimates may not accurately reflect local t...
Researchers at Allina Health present findings from the LifeCourse study, which shows that a whole-person approach to care can reduce health care utilization in late-life. The study found that patients who received care from lay health workers experienced improved quality of life and resilience in the face of decline.
The University of Michigan will train junior faculty scholars in emergency critical care research through a new NIH K12 Career Development Program. Scholars will receive broad training in modern clinical and translational science, as well as expertise in grant writing and research mentoring.
The University of Pittsburgh has been awarded a $10.8 million contract to launch the LITES Network, which will create a nationwide trauma system capable of conducting detailed research on trauma care. The network aims to reduce preventable deaths after injury and minimal trauma-related disability.
Elder abuse affects approximately 1 in 10 older adults in the US, with 23 million emergency department visits annually. A new study estimates that only 1 in 7,700 visits result in a formal diagnosis of elder abuse, highlighting a major missed opportunity for patient safety and unmet care needs.
The new opioid urgent care center provides a full continuum of treatment services, including detoxification and follow-up care, to patients with substance use disorders. Faster Paths integrates BMC's existing addiction services to streamline access to treatment.
A nationwide CPR training event aims to improve cardiac arrest survival rates. The training has already been delivered to 31,000 children in the past two years and will reach over 100,000 this year. The initiative is part of a collaboration between leading organizations to create a Nation of Lifesavers.
A study of 34,444 patients found that 21.9% had ambulatory care-sensitive conditions, with 52% having cardiovascular disease. In-patient mortality rates were significantly lower for those with cardiovascular ACSCs compared to non-cardiovascular.
A UK injury data collection pilot has found a significant association between deprivation levels and an increasing incidence rate of unintentional injuries. The study suggests that collecting injury data could help reduce A&E attendances by understanding patterns in communities.
A comprehensive review of studies on alternative management strategies for low-risk acute medical conditions found that all four evaluated approaches are safe, improve patient satisfaction, and reduce healthcare costs. However, some exceptions were noted, including higher-than-anticipated return hospitalization rates for certain condit...
Patients registered to extended-access practices had a 26.4% relative reduction in ED visits for minor problems compared to those with routine access. This resulted in significant cost savings, but no overall reduction in ED visits.