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.
A new method of treating abscesses has been discovered, which involves adding an antibiotic to the conventional approach, resulting in improved recovery rates and reduced risk of MRSA infection spread. The study found that 93% of patients who took the antibiotic were cured, compared to 86% who received a placebo.
Researchers studied the 2014 EV-D68 outbreak, finding that confirmed infections grossly underestimates the true burden on children's hospitals. The study highlights the importance of resource utilization monitoring in future unexpected outbreaks.
A study published in the Bulletin of the World Health Organization found that an estimated 312.9 million surgeries took place globally in 2012, with only 30% of operations occurring in low-income countries representing 71% of the global population.
A study by Northwestern University found that out-of-state visitors to Colorado's marijuana dispensaries are increasingly visiting the emergency room, with a 109% increase in 2014 compared to 2012. Adverse side effects of cannabis use include anxiety, hallucinations, and cardiovascular issues.
A study published in Annals of Emergency Medicine found ketamine to be an effective and safe sedation agent for patients with acute behavioral disturbances who do not respond to traditional methods. Only 10% of patients treated with ketamine required additional sedation or failed to achieve sedation within a set time frame.
The European Society of Cardiology has launched the first European advice on emergency care for patients with acute heart failure. The guidance highlights that mortality from acute heart failure is even higher than from a heart attack, and that care lags 30 years behind standard treatment pathways for heart attacks.
A study found a significant increase in mental health-related emergency department visits, hospitalizations, and office-based services among children and youth in Ontario, Canada. Anxiety disorders were the most common reason for these visits, accounting for 47% of the total increase.
Zika virus, a mosquito-borne disease, can cause microcephaly in infants and mild flu-like symptoms in adults and children. The US is at risk of introduction, particularly with the presence of Aedes species mosquitoes in many states.
A study has identified a series of innovations that can help hospitals reduce unnecessary acute admissions. The research found that early patient assessment by senior staff played a central role in reducing admissions, with different approaches used across four hospitals in the south west of England. Patients were generally happy with ...
A study of 536 patients found that those admitted as medical emergencies at weekends are significantly older and more physically incapacitated than weekday admissions. The researchers suggest this may explain the higher death toll for weekend hospital admissions.
Research shows that placing a child in the recovery position after losing consciousness can lower hospital admission rates. However, most parents do not use this method and instead resort to potentially dangerous manoeuvres like shaking, slapping, or blowing on the face.
Children with lower socio-economic status have reduced access to neurology visits and increased emergency department visits due to transportation and employment barriers. These disparities highlight the need for additional support to reduce costly hospitalizations and improve specialist care access.
A study found that emergency department visits for young adults decreased by 0.5 percent following the implementation of the Affordable Care Act, while visits for mental illnesses increased significantly. However, there was a notable decrease in ER visits for complications of pregnancy among this age group.
A randomized clinical trial found that ED-initiated palliative care consultations improved quality-of-life scores and median survival without shortening survival. The study suggests that ED visits can provide a unique opportunity for improved access to palliative care.
Emergency physicians propose three interventions to improve cardiac arrest survival rates: developing a national OHCA registry, encouraging bystander CPR, and fostering high-performance CPR. The authors argue that inadequate research funding is a significant problem, hindering efforts to reduce mortality rates.
A new study reveals a sharp increase in drug shortages affecting emergency care in the US, from 26 to 123, a 373% rise from 2008 to 2014. Life-threatening medications are particularly affected, leaving emergency department physicians without necessary treatments for critical patients.
A Temple University study found that an opioid prescribing guideline significantly decreased prescription rates for minor conditions and chronic noncancer pain in acute care settings. The guideline was implemented in January 2013 and resulted in a high degree of statistical significance across all age groups and complaint categories.
A study by Boston Medical Center found that nearly 3,000 individuals with chronic pain who experienced a nonfatal opioid overdose continued to be prescribed opioids, with 70% receiving prescriptions from the same provider. Patients who took high dosages were twice as likely to have another overdose at two years of follow-up.
A Vanderbilt University Medical Center study found that 25% of emergency department visits involve patients with hypertension, with a 20% increase since 2006. Uncontrolled hypertension is a significant cause of death in the US, and lifestyle factors such as medication adherence and exercise can help manage the condition.
A large inner city hospital in England found that almost three-quarters of weekend emergency care cases are linked to excess alcohol intake, resulting in significant costs for urban emergency care departments. The analysis, published online, reveals substantial costs for treating alcohol-related cases, with an annual bill of £1 million.
A randomized controlled trial found that isopropyl alcohol nasal inhalation reduced nausea scores by half and improved patient satisfaction compared to saline solution. The remedy has potential to alleviate symptoms of nearly five million emergency patients annually.
An analysis of over 1.3 million emergency department visits found that the presence of medical students was associated with a statistically significant increase in patient length of stay. However, this effect may be too small to have clinical relevance.
A study published in Health Affairs found that the most crowded US hospital emergency departments did not adopt effective interventions to improve flow, leading to worse patient care and outcomes. Despite increased adoption of strategies to reduce crowding over four years, many hospitals still failed to implement proven interventions.
Research shows that patients are not harmed during doctor strikes in developed countries when emergency care is available. Studies have found no significant increase in mortality rates during strikes, despite some concerns from healthcare professionals.
Decreasing county-wide psychiatric services led to a significant increase in emergency psychiatric consults and prolonged hospital stays. The study found that patients with mental illness faced greater challenges in accessing care, resulting in increased medical issues.
A new study found that older adults with dementia visit emergency departments at higher rates, are admitted to hospitals more often, and have a higher death rate after ED visits compared to those without dementia. The study also highlights the need for better care in fast-paced emergency departments.
A new study published in Annals of Emergency Medicine found that commercial electronic health record opioid warning systems often fire off unnecessary alerts, compromising patient safety. The alert fatigue issue highlights the need to refine these systems to highlight only clinically significant alerts.
Researchers found that embedded clinical practice guidelines in patient electronic medical records during outpatient visits improved the use of severity measurement tools, referrals to rehabilitation programs, inhaler education, and vaccinations among stable COPD patients. The intervention also led to better quality of care measures.
A new study found that kids with asthma who make 5 acute care visits have a 87% probability of future emergency department visits. Early treatment and controlled asthma management significantly reduce asthma attacks and ED visits.
A new UCLA study found that having a routine place for well and sick care is the most reliable predictor of whether a child will be readmitted to hospital. The study also revealed that parents' confidence in their children's continued good health is closely correlated with fewer unplanned readmissions.
A new study from the University of Michigan Institute for Healthcare Policy and Innovation found that nearly all nonprofit hospitals have written charity care policies, but many fail to notify patients about their potential eligibility or charge them fairly. Hospitals in states without expanded Medicaid reported having less generous ch...
A recent case series highlights the risk of EpiPen-related injuries in children, particularly thigh lacerations and embedded needles. The study recommends improving product design and instructions for use to reduce these risks, citing a safer alternative device as Auvi-Q.
Research found that physician care has the largest impact on overall pediatric patient satisfaction in outpatient specialty care, while nursing care was valued as most important in inpatient settings. Personal concern and ease of scheduling were also key factors in primary care.
Two new clinical decision instruments (DIs) can accurately identify blunt chest injury in patients. Chest CT-All correctly identified major or minor injuries 95.4% of the time, while Chest CT-Major identified major injuries with a high degree of accuracy. These DIs may reduce unnecessary scans by 25%-37%.
A nationally representative study found racial/ethnic minorities and unemployed individuals spent more time traveling to, waiting for, and receiving medical care. Face-to-face time with physicians averaged 20.5 minutes and did not vary by patient race/ethnicity.
A 11-year study in Maryland showed that changes to trauma triage protocols decreased helicopter transport for trauma patients while improving patient outcomes. Ground transport increased by 33%, saving the state considerable money.
A recent study published in Annals of Emergency Medicine found that irrigation of cutaneous abscesses did not improve treatment success and may even increase the risk of microbiologic contamination. The study suggests that this procedure may not be necessary, potentially saving time and resources for emergency departments.
A recent ENA study found that moral distress in emergency nurses is caused by environmental factors such as excessive documentation and inadequate staffing. The study highlights the need for emergency departments to address these challenges to provide high-quality care.
A study found that commercial electronic health records (EHRs) increased emergency physicians' tasks performed per minute by nearly 12 percent, leading to potential patient safety hazards. The introduction of a commercial EHR imposed cognitive burdens on physicians, causing stress and frustration.
Boston Medical Center (BMC) has significantly reduced the average wait time for pediatric patients experiencing severe pain from sickle cell disease from 56 minutes to 23 minutes. The hospital's quality improvement initiative also improved care by reducing the time to administer pain medication and increase patient-controlled analgesics.
Researchers developed a method to measure cognitive load in medical assessments using eye-tracking glasses. Novices expend more mental effort than experts when answering medical questions, even when the answers are correct.
A study published in Annals of Emergency Medicine found that neighborhood characteristics have a lesser impact on EMS activation for stroke than stroke severity or individual factors. Most patients arrived at the ER within 3 hours, but only about half used EMS, with lower stroke severity and younger age being key determinants.
The conference will showcase advancements in acute cardiovascular care, including heart attack, cardiac arrest, and pulmonary embolism treatment. Experts will discuss novel therapies and debate controversial topics such as pre-hospital care and bleeding management.
A Kaiser Permanente study found that introducing electronic order entry and care-decision support in emergency departments led to a significant increase in the timely administration of clot-dissolving treatments for patients with acute ischemic stroke. The technology helped minimize errors while improving patient outcomes.
A substantial proportion of NHS hospital staff, including those in maternity services, encounter patients who have been trafficked, according to research published in BMJ Open. The study found that staff across various specialties lack knowledge on how best to respond to victims and feel inadequately prepared to provide appropriate care.
A national survey of EMS providers identified airway management skills and personal anxiety as key factors contributing to pediatric safety events in out-of-hospital care. The study supports the American Academy of Pediatrics' recommendation for pediatric physician involvement in EMS training and policy development.
Researchers at the University of Pittsburgh School of Medicine have developed a research-based guidance to improve compliance when treating septic patients. The guidance, which incorporates high-profile clinical trials, aims to aid hospitals in implementing the National Quality Forum's Severe Sepsis and Septic Shock Management Bundle.
A study published in Medical Care found that rural Medicare beneficiaries have lower rates of follow-up care after leaving the hospital, which may lead to higher risks of emergency department visits and repeat hospitalizations. The research also highlights the need for policies to improve access to care for patients in rural areas.
A study led by Boston University School of Medicine researchers found that educating medical residents about transgender identity improved their knowledge and willingness to assist with hormonal therapy. The intervention increased residents' willingness to provide care for transgender patients from 5% to 76% for female-to-male patients...
A randomized clinical trial found that an ED-based counseling program did not significantly reduce excessive drinking and partner violence among women in abusive relationships. Despite initial results suggesting brief interventions could be effective, the study found no positive outcome among participants who received the intervention.
A study published in Annals of Emergency Medicine found that only 77% of patients accurately assessed their ability to perform tasks after visiting emergency departments. This highlights the need for direct assessments rather than relying on patient statements about abilities.
A workgroup published five primary recommendations to maximize health information exchange value in emergency departments, including physician involvement and standardized data elements. Seven secondary recommendations aimed to improve HIE for emergency physicians, focusing on data quality and access.
A randomized clinical trial found that screening women for partner violence and providing a resource list did not reduce hospitalizations or emergency department visits. The study also did not find improvements in quality of life or the recurrence of partner violence after one year.
A recent study found that Medicaid dental coverage does not reduce emergency room visits for nontraumatic dental conditions in urban areas. Despite an adequate supply of dentists, patients struggle to find providers who accept Medicaid, leading to increased ER use.
A California study found that not-for-profit hospitals provided an average of 1.9% of operating costs for charity care, while for-profits spent 4.4% on bad debt and uncompensated care. The disparity highlights the need for clearer guidelines to ensure hospitals fulfill their community obligations.
A new study reveals that transfer times for stroke patients are significantly longer than expected driving times, with average differences ranging from 46 to 133 minutes. This highlights the need for improvements in emergency transport systems to ensure timely diagnosis and treatment.
A new study led by Duke Medicine shows that bystander-initiated CPR substantially increased survival from cardiac arrest. The early application of CPR was associated with improved patient survival compared to situations where patients waited for EMS-initiated CPR and defibrillation.
The Low Risk Ankle Rule reduces unnecessary radiation exposure and healthcare costs for children with ankle injuries. Implementing the rule leads to a 22.9% decrease in x-ray orders and $36.93 less in healthcare costs.
Researchers found a new treatment approach for blood clots that allows patients to go home the same day, reducing hospital stays and costs. The treatment, rivaroxaban, also reduces recurrent thrombosis and bleeding rates.
A new study provides a glimpse into the complex dynamics of end-of-life care and emergency response. Paramedics and EMTs often enter situations where a patient's end-of-life wishes contradict their professional code, requiring careful assessment and management to uphold those wishes.