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.
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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.
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A new study from the University of Iowa found that improving access to affordable primary care reduced preventable hospital stays for black and Hispanics who receive both Medicare and Medicaid. However, it also showed that trips to the emergency department went up among all dual eligibles, regardless of race or ethnicity. The study sug...
A study found that hospital weekend death risk is a feature of several developed countries' healthcare systems, not just England. Experts highlight the need to clarify what causes this phenomenon, which amounts to about 160 additional deaths per year.
Researchers suggest that level I trauma centers can provide training opportunities for military surgeons to maintain their skills. The study found that level I trauma centers closely resemble military Role 3 facilities in terms of case density and work schedules, making them ideal for sustaining combat surgical skills.
The American Red Cross supports increased public education and training opportunities for bystander CPR and defibrillation to reduce barriers. The report calls for national accreditation standards, a national registry, and enhanced EMS capabilities to improve cardiac arrest survival rates.
Researchers in Navarre, Spain developed a system that uses soft computing to predict the survival of multiple trauma patients. The system achieved high accuracy by considering patient severity variables, age and other clinical parameters.
A study found that over half of seniors injured in motor vehicle crashes were still taking pain medication six months later. The results highlighted the need for effective management of acute pain in older adults to prevent negative consequences on function and quality of life.
A new evidence-based protocol to treat acute, severe pain in emergency department patients has been shown to be effective and safe. The study found that simply asking patients if they want more pain medication resulted in satisfactory pain control for 99% of participants.
A recent UAlberta study reveals nearly half of severely obese patients require ICU admission and one in five do not survive after emergency surgery. The researchers attribute these findings to underlying health conditions, malnutrition, and impaired healing due to obesity.
A three-year study shows significant improvements in quality and use of medical services relative to comparison practices. Medical home interventions that paid bonuses based on financial savings improved diabetes care, breast cancer screening, hospitalizations, emergency department visits, and primary care visits.
A recent study found that nearly a quarter of ER clinical encounters could pose difficulties due to the new ICD-10 coding system. The researchers identified convoluted mappings in 27% of commonly used emergency room ICD-9 codes, which may lead to incorrect reporting or reimbursement.
Joint recommendations from the Heart Failure Association, European Society of Emergency Medicine, and Society for Academic Emergency Medicine emphasize urgent diagnosis and treatment of acute heart failure. The guidelines outline tests, treatments, and management strategies to reduce mortality and morbidity.
For severe salicylate poisoning, hemodialysis is the best remedy according to a comprehensive review of medical literature. Salicylate poisoning causes significant harm and death, requiring prompt treatment with dialysis.
A new study by Ohio State University Wexner Medical Center found a low risk of life-threatening cardiac events among patients with chest pain who have normal test results. The researchers suggest discharging these patients to outpatient settings for further testing, which could significantly reduce hospital admissions.
More than half of Medicaid enrollees opt for hospital emergency departments due to convenience and access to technology, rather than primary care clinics. This finding exposes a gap in healthcare services, as patients may avoid costs associated with travel and time away from work but neglect preventive care and chronic disease management.
Indiana University researchers Michael LaMantia and Kathleen Unroe have been recognized by the American Geriatrics Society for their groundbreaking work in geriatrics and aging research. Dr. LaMantia received an AGS New Investigator Award, while Dr. Unroe was named an AGS fellow for her dedication to health policy and long-term care.
Analysis of seven electronic databases reveals frequent users account for up to one in 12 patients seeking emergency department care, and are around 2.5 times more likely to be admitted or require outpatient treatment. The study suggests that frequent users may benefit from targeted proactive approach.
A University of Maryland School of Public Health study found that linking low-income uninsured patients to safety-net clinics reduced avoidable emergency department visits. The initiative improved health outcomes and reduced costs for vulnerable populations in Montgomery County, Maryland.
A three-year analysis by Mount Sinai researchers found that early palliative care interventions can improve geriatric emergency care, decreasing hospital lengths-of-stay and costs. The approach is shown to have reduced ICU admissions for patients aged 65 and older by 1.4%.
A randomized trial by Yale researchers found that patients given buprenorphine in the emergency department were more likely to engage in addiction treatment and reduce illicit opioid use. They also had fewer resources used, compared to those who received only referrals or brief interventions.
A new study published in Annals of Emergency Medicine has reevaluated the safety of droperidol for sedating emergency patients with acute behavioral disturbance. The study found that droperidol is effective and safe when used alone, but combinations with benzodiazepines may increase adverse effects.
A study published in Western Journal of Emergency Medicine found that emergency departments can provide a promising venue for addressing opioid deaths through education on overdose prevention and naloxone rescue kit distribution. The program reached a high-risk population, equipped them with kits, and encouraged witness intervention.
A new study found that nearly 50% of emergency departments have a pediatric coordinator, leading to improved readiness and a 70% national score increase since 2003. The assessment identified areas for improvement, including disaster plans and equipment availability.
A recent study found that US emergency departments have improved their pediatric readiness, with a median weighted pediatric readiness score of 68.9, up from a previous score of 55. This improvement is attributed to the implementation of a comprehensive assessment by a national coalition.
A new tool uncovers some surprises in diagnosing Ebola by identifying six key symptoms: contact with an infected person, diarrhea, loss of appetite, muscle pain, difficulty swallowing and absence of abdominal pain. This score can help clinicians risk-stratify patients during outbreaks.
A new University of Michigan study found that young people who have been injured in a fight have a nearly 60% chance of being involved in a violent incident involving a firearm within two years. The study also identified associated factors, such as drug use disorder and post-traumatic stress disorder, that increase this risk.
A new study led by UC San Francisco documents the increasing amount of care provided in emergency departments for complex, chronic conditions. The research shows a rise in non-injury diagnoses, including gastrointestinal and nervous system disorders, among vulnerable populations.
A new diagnostic tool for Ebola virus disease was developed by Dr. Adam C. Levine at Rhode Island Hospital, which can help determine the likelihood of a patient having EVD based on six specific symptoms. The tool aims to facilitate timely and effective treatment for patients suspected to have the virus.
Two new studies published in Annals of Emergency Medicine explore the use of social media to promote dialogue around global emergency medicine. The studies, conducted by researchers from the American College of Emergency Physicians, establish criteria for evaluating high-quality blogs and podcasts.
A study by Boston Medical Center researchers finds that new Hepatitis C treatments are highly effective but only cost-effective for patients with advanced liver disease or those who have previously failed treatment. The therapy's wholesale cost of $85,000 per course is prohibitively expensive for healthier patients.
A study at a Swedish hospital found that caregivers missed 90% of opportunities for using alcohol-based hand rub and aseptic techniques during invasive procedures. The lack of adherence to aseptic techniques led to an increase in hospital-acquired infections, highlighting the need for improved teamwork and training.
A Monash University study reviewed over a million ICU patients in Australia and New Zealand, finding one in eight did not meet current sepsis criteria. The classic definition of sepsis may be missing critically ill patients, particularly the elderly or those on medications that affect heart rate or immune systems.
The Affordable Care Act (ACA) has led to a decrease in emergency department (ED) visits among Medicare patients treated by patient-centered medical homes, with outpatient ED visits growing more slowly. However, there was no effect on rates of inpatient hospitalization, which is significantly more expensive.
The HEART Pathway, a new protocol, helps emergency departments evaluate patients with acute chest pain more efficiently. It has been shown to reduce cardiac tests, early discharges, and hospital stays while maintaining patient safety.
A new study by Intermountain Medical Center researchers found that using advanced clinical decision support tools reduces mortality for pneumonia patients. The tool, which analyzes 40 different factors to calculate a patient's risk of having pneumonia, saved up to 12 lives in hospitals where it was used.
Researchers predict a shortage of over 33,000 primary care physicians by 2035 due to demographic changes and insurance expansion. To eliminate this deficit, experts suggest increasing residency production by nearly 2,200 positions by 2020.
A five-year clinical trial will examine two treatments for acute low back pain, aiming to prevent chronic conditions. BMC researchers will recruit 2,640 patients to test the efficacy of early physical therapy with cognitive behavioral coaching.
A teenager returned from a discotheque with classic stroke symptoms was actually diagnosed with Lyme disease due to elevated white blood cell counts in spinal fluid. The patient improved immediately after antibacterial and antiviral treatment began.
Researchers found that expansion of insurance coverage in Massachusetts increased elective knee and hip replacement procedures by 4.7 percent, with greater increases among black and Hispanic patients. The study suggests improved access to healthcare for racial/ethnic minorities, leading to better health outcomes.
Studies found significant confusion among emergency physicians and prehospital care providers in interpreting POLST orders. Only when specifying CPR and full treatment did consensus rates reach 95%. The studies call for continued research, standards, and education to ensure patient autonomy and appropriate care.
A new study by Yale University found that younger women with heart disease symptoms often delay seeking medical care, citing fears of false alarms. The research highlights the need for education and improved response strategies to empower these women to recognize early symptoms and seek prompt care.
A study published in CMAJ found that nearly a quarter of patients with chest pain who visited an emergency department did not receive follow-up care. Patients with multiple health issues and rural residency were less likely to see a physician after discharge.
The Johns Hopkins Medicine has developed four web-based training modules on Ebola preparedness for emergency department personnel. These modules provide tools and resources to identify, triage, and manage patients at risk of Ebola, as well as planning processes and communication techniques.
A comprehensive review of studies on physician attire finds that patients prefer formally dressed doctors, but fashion takes a back seat in emergency and surgical care. The study's lead author suggests that healthcare systems capture the 'voice of the customer' to provide tailored guidance on physician attire.
A new study reveals that higher spending on emergency care produces lower mortality rates and improved patient outcomes. The research analyzed ambulance-dispatch patterns in New York state to compare the treatment received by patients at different hospitals.
Research by UT Southwestern Medical Center Emergency Medicine physicians found that deeper chest compressions result in decreased survival due to collateral damage, while faster compression rates are crucial for survival. The ideal compression rate is between 100-120 beats per minute.
The University of Michigan has launched a major initiative to find new ways to treat Traumatic Brain Injury (TBI) thanks to a $10M gift from the Joyce and Don Massey Family Foundation. The new Emergency Critical Care Center will provide advanced care to patients with TBI, stroke, or other critical illnesses.
A study published in JAMA finds that quality measures prioritize management of patients with established diagnoses, neglecting care for those presenting with symptoms. This oversight may lead to underuse of necessary care and compromise patient diagnosis accuracy.
A study found that Medicaid copayments for nonurgent emergency room visits had little impact on usage rates, with no significant difference in states with and without copayments. The researchers suggest that lack of access to primary care physicians may be a reason why patients continue to seek ER care.
A study assessed self-care barriers in acute heart failure patients returning to the ER. Common barriers include co-morbidities, physical disability, and knowledge about disease. Addressing these social determinants can improve patient outcomes and reduce readmissions.
A new study by UMass Chan Medical School found that opioids administered in the emergency room do not influence patient satisfaction scores. Factors such as wait time and communication play a greater role, according to the study's authors.
A small study found that UK trainee doctors still struggle to recognize and treat anaphylaxis, a potentially fatal allergic reaction. Despite updated guidelines and training, many doctors lack basic knowledge of treating the condition, which causes breathing and circulatory problems.
The Georgia State University School of Public Health has received a five-year contract to coordinate Youth Mental Health First Aid Training (YMHFA) and other professional development efforts. The program will teach citizens to support adolescents experiencing behavioral health or addiction challenges.
A new pilot study found that majority of tweets from an Emergency Medicine Conference accurately reflected the presenter's message, while some misrepresented it and potentially harmed speaker's reputation. The study highlights the need for further assessment on the impact of social media on presentation quality.
A study published in JAMA found that the High Risk Children's Clinic reduced serious illnesses by 55% and total costs by $16,523 per child per year compared to usual care. The clinic provided comprehensive care with an emphasis on prompt and effective treatment.
A randomized clinical trial found that comprehensive care for high-risk children with chronic illness reduced the number of serious illnesses by 55% and total hospital and clinic costs per child-year. The study suggests that medical homes can be a cost-effective option for these patients.
Poisoning from prescription drugs and emerging substances like 'bath salts' and laundry detergent pods led to millions of human poison exposures in the US. In 2012, poison centers reported 2.2 million exposures, with children and teenagers being disproportionately affected.
The IU and Regenstrief GRACE study is a pioneering program that provides comprehensive care management for older adults in their homes. It has been shown to improve quality of life, reduce hospital admissions, and decrease healthcare costs, making it a model for geriatric medicine.
Westgate Medical Practice introduced a novel appointment system where patients can attend at designated times, reducing wait times and increasing patient satisfaction. The practice saw an improvement in work patterns for nursing staff and a significant increase in patients seeing their preferred doctor.
A study published in Annals of Emergency Medicine found that Internet searches on a regional medical website can predict emergency department visits with an error rate of 4.8%. This correlation was strongest for the entire county, suggesting that Internet data may be used to forecast emergency department demand.
A study of US emergency departments found that supervised visits involving resident and attending physicians were linked to a greater likelihood of hospital admission and longer ED stays. Supervised visits also resulted in increased use of advanced imaging, whereas blood testing rates were similar.