Articles tagged with Emergency Medicine
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 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.
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.
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.
A recent study found that elderly patients who visit emergency departments due to falls are at risk for adverse events, including additional falls, hospitalization, and death within 6 months. The study highlights the importance of educating patients on how to prevent falls after discharge from the emergency department.
A recent study by CHLA found that caregivers are generally more satisfied with actual care than expected in pediatric emergency departments. Effective communication between physicians and families can improve expectations and health knowledge.
A new study found that a V.A. initiative to improve end-of-life care led to a substantial increase in the use of hospice among U.S. veterans. Hospice use grew at a rate twice as fast as the general Medicare population, with an estimated additional 17,046 veterans receiving hospice care between 2010 and 2014.
Researchers developed a novel technique that combines a micro-camera with a subjective re-situ interview to better understand physician decision-making in emergency medicine. The study found that this approach provided a more authentic understanding of clinical decision-making compared to traditional external perspectives.
A RAND Corporation study found that safety-net providers adopting a medical home model improved primary care access but did not decrease specialty care use or Medicare expenditures. The model aims to provide comprehensive, personalized care, which can improve outcomes for chronic conditions like diabetes and asthma.
States that expanded Medicaid coverage saw a 2.5% increase in emergency department visits per 1,000 people after 2014, while uninsured ER visits decreased by 5.3%. The study found larger impacts on states with higher childless adult populations.
A Drexel University study finds that Obamacare has narrowed the gap in care between Mexican-Americans and white Americans with high blood pressure, increasing insurance rates, doctor visits, and regular sources of care. The Affordable Care Act also improved treatment outcomes for Mexican-heritage patients with hypertension.
A special supplement to Wilderness & Environmental Medicine outlines the transferability of military trauma care techniques to austere environments. Key findings include the reduction of preventable trauma deaths from bleeding, airway obstruction, and collapsed lungs with TCCC guidelines.
Researchers found no difference in important clinical outcomes for pediatric trauma patients who received routine ultrasound evaluations compared to those without. The study aimed to determine whether ultrasound could safely decrease CT scan use and improve resource use, but results showed minor savings of $1,200 per patient.
A study published in Academic Emergency Medicine found that the level of benefit, risk, and cost significantly influence patients' decisions to receive a diagnostic test. The researchers discovered that participants were more likely to accept a diagnostic test when the cost was lower, highlighting the impact of financial burden on medi...
A new electronic sepsis alert protocol has been implemented in pediatric emergency departments, reducing missed diagnoses of severe sepsis by 76 percent. The protocol uses a combination of vital signs, risk factors, and physician judgment to identify children at high risk of developing sepsis.
Researchers at UCSF found that black heart attack patients suffered higher mortality rates when ambulances were diverted due to hospital overcrowding. In contrast, better coordination between correctional and community health care systems can help reduce these disparities. A separate study also found that released prisoners who receive...
A study of emergency medicine doctors found that adult patients are charged 340% more than Medicare pays for services. The largest hospital markups disproportionately affect minorities and uninsured patients, highlighting a need for fairer and more transparent healthcare pricing.
A recent study published in the Journal of the American Osteopathic Association found that only 38% of emergency medicine healthcare professionals can accurately estimate the costs for three common conditions. This lack of transparency has the potential to lower costs for patients and the overall healthcare system.
A study led by Dr. Allysha C. Maragh-Bass found that transgender patients prioritize disclosing their gender identity over sexual orientation in healthcare, highlighting the importance of creating a safe environment for these individuals.
The World Federation of Societies of Anaesthesiologists has launched a global anaesthesia workforce map, highlighting huge shortages and disparities in high vs low-income countries. The map shows that only 1 in 100,000 people in some Sub-Saharan African countries have access to trained anaesthesia providers.
Critical care is a constantly evolving field with a huge literature base. EM physicians must stay up-to-date on medical literature to provide the best care for their patients. The recent PEITHO 2 study has sparked debate on pulmonary embolism treatment, and sepsis care requires being mindful of fluid type, pressors, and culture data.
A new Finnish study found that nearly half of patients with refractory status epilepticus (RSE) recovered to baseline function within a year. The study analyzed data from a population-based cohort and showed a mortality rate of 25% for RSE patients and 36% for super-refractory status epilepticus (SRSE) patients.
A study found that ER overcrowding is associated with a significant delay in sepsis treatment, resulting in increased mortality risk. Patients presenting to crowded ERs waited an average of 47 minutes longer for antibiotics compared to uncrowded ERs.
A University of Pittsburgh-led study covering nearly 50,000 patients found that hospitals in New York State that followed the 'three-hour bundle' protocol for sepsis treatment had lower mortality rates. The protocol requires early identification and treatment within three hours of diagnosis, with completion averaging 1.3 hours.
Michigan Medicine researchers explored best practices in EMS oversight to improve pre-hospital care. They identified seven key factors for high-quality EMS oversight: competition and collaboration, leadership, organizational structure, quality improvement culture and practice, relationships and communication, resources, and community-s...
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 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.
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.
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.
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 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.
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.
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.
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.