Articles tagged with Emergency Medicine
The Affordable Care Act authorizes $100 million in annual grants to help defray substantial uncompensated care costs, further the core mission of trauma centers, and provide emergency relief. Trauma systems emphasize coordination among multiple health care professionals and institutions across the continuum of care.
A Utah prison outbreak of severe botulism poisoning from homemade pruno highlights the importance of prompt medical attention. The CDC's anti-toxin is rarely administered due to lengthy supply chains, emphasizing the need for emergency physicians to act quickly on clinical suspicion.
Researchers found that initiating palliative care consultations in emergency departments (EDs) reduced hospital length of stay by an average of 3.6 days compared to patients receiving consultations after admission. This study suggests that EDs could be a setting for improving patient-centered care and reducing healthcare costs.
Researchers found no evidence to support routine screening for high-risk patients before administering a single oral dose of ondansetron. ECG screening and electrolyte testing should be targeted to patients with known risk factors, while it's not warranted in low-risk individuals.
Frequent emergency department users have substantial burden of disease, often with multiple chronic conditions and hospitalizations. Predictive modeling based on initial ED visit data can identify individuals likely to return frequently.
A new study published in Health Affairs suggests that providers and organizations can reduce acute care costs through public health measures and educational initiatives. The authors propose a fee-for-service payment system with incentives based on resource and quality measures to encourage high-value care.
A new approach to palliative care has been shown to reduce emergency room visits and improve overall care for high-risk geriatric patients. The customized care model, matched to their changing needs at home, also reduces healthcare costs.
A recent case series of serious injuries at the Tough Mudder event highlights the risks associated with extreme sports events. Participants experienced a range of severe injuries, including multiple electrical burns, seizure-induced Todd's paralysis, and face and head trauma.
The NHS 111 service increased emergency ambulance calls, attendances at emergency care departments, and use of urgent care services during its first year of operation. Despite being designed to direct patients to the most appropriate level of care, NHS 111 did not reduce these pressures.
A recent study found that adults with developmental disabilities, such as autism and Down syndrome, face significant barriers to accessing healthcare. The research suggests that these individuals require more comprehensive and coordinated care, including preventive measures like cancer screening, to manage their complex health issues. ...
A study found that Twitter is used by individuals and organizations involved in clinical toxicology and poison control to share information on diagnosis, management, and conferences. The audit yielded 51 relevant accounts with an average of 1,084 followers.
A new study found that nail gun injuries are increasingly common, especially among young males in work settings. The researchers also noted that public consumers are at risk of injury from these devices.
A study published in Annals of Emergency Medicine found that diabetic patients treated in the emergency department who received automated daily text messages improved their blood glucose levels and self-reported medication adherence. The program reduced the need for emergency department visits and was well-received by participants.
A recent Canadian study found that transgender patients often avoid emergency department care due to perceptions of discrimination or poor treatment. Nearly three-quarters of those who needed care were able to access it in the ER, but nearly half reported negative experiences related to their trans status.
A new study from Duke University shows that nurse home visits can significantly reduce the need for emergency care in infants. The program, Durham Connects, costs an average of $700 per family and has been shown to decrease emergency care episodes by 50% in the first year of life.
A new pocket manual for first aid teams will help improve heart attack survival rates across Europe by providing quick access to treatment protocols. The toolkit, developed by the Acute Cardiovascular Care Association, is small and easy-to-use, with illustrations showing exactly what needs to be done for patients in an emergency.
A new study predicts that the Affordable Care Act will increase emergency department reimbursements by 17% for uninsured patients on Medicaid and 39% for those switching to private insurance. This could help reverse a decades-long trend of uncompensated care in ERs.
Researchers at George Washington University found that outpatient emergency department encounters could reimburse more for patients gaining Medicaid or private insurance through the Affordable Care Act. On average, uninsured patients who will be eligible for Medicaid would receive 17% higher reimbursement per visit, while those becomin...
The American Thoracic Society expert panel recommends that patients work with their providers to develop individualized action plans to prevent 'dyspnea crisis' episodes. These plans can include alternative relaxation and breathing techniques, medications, and oxygen therapy to ease symptoms.
A systematic review of outside interventions found two-thirds of studies showed reductions in ED visits, with patient education being the most effective. However, some interventions increased overall healthcare consumption without reducing ED use, highlighting the need for careful evaluation of new programs.
A new University of Michigan study suggests that the newly insured will make more outpatient visits and fewer emergency room (ER) visits than they do today. The study found that clinic visits rose significantly among adolescents after the Children's Health Insurance Program (CHIP) went into effect, while ER visits remained flat. Howeve...
A three-way partnership between UCLA, USC, and UC Irvine will form the Los Angeles–Southern California Regional Coordinating Center to address stroke prevention, acute therapy, and recovery. The network will perform five to 10 clinical trials and educate fellows in stroke translational research.
Research finds that system delay in treating STEMI patients leads to postponed return to work and earlier retirement. A study of 4,061 patients under 67 years old found that those with longer system delays returned to work later and retired earlier.
A study published in Pediatrics shows a significant increase in emergency room visits for children with sports-related traumatic brain injuries, including concussions. The number of admissions also rose, with patients with less severe injuries being treated in the hospital more frequently.
A Loyola Medicine study found that the i-STAT point-of-care device is not accurate enough to determine troponin levels without a corrective term. Fingerstick testing can accurately qualify troponin levels as negative, borderline or positive.
Two eight-year-old twin brothers were injured when a bolt of lightning struck a transformer near their tent, causing penetrating blast injuries. The case study highlights the rare possibility of electrical shock from lightning strikes and emphasizes the importance of seeking shelter during thunderstorms.
A recent study found that California adults with Medicaid coverage had the largest increase in emergency department visits from 2005 to 2010. This rise may be attributed to decreased access to primary care, which was reflected in higher rates of ambulatory care sensitive conditions among Medicaid patients.
A study published in the Journal of the American Medical Association found that electronic health records were associated with a decrease in emergency room visits and hospitalizations for patients with diabetes. The use of EHRs improved the quality of care, resulting in fewer negative events.
A new study reveals that nearly one in five older adults experience emergency department visits within a month of common surgeries, with significant variation between hospitals. Hospitals can use this measure to assess their quality of care and focus on preventing post-surgery emergencies.
The largest ever study of NHS culture and behavior found that high-quality care is often hindered by unclear goals, excessive box ticking, and variable staff support. The analysis identified 'dark spots' of poor care and highlighted the need for clear goals, good intelligence on performance, and person-centered cultures.
Research presented at ESC Congress 2013 found that out-of-hospital cardiac arrest survival rates are low, with only 7% of patients surviving. Therapeutic hypothermia and early coronary reperfusion were both linked to improved survival outcomes in patients.
A new study published in Pediatrics found that pediatric readmission and revisit rates are limited in their usefulness as a quality indicator for pediatric hospital care. The study suggests that grouping patients with similar diagnoses could improve the accuracy of readmission rates as a quality measurement.
A new international study found that senior citizens face distinct challenges in emergency departments, including higher rates of dependency, cognitive impairment, and delirium. The study calls for staff training in geriatric care and specialized department layouts to better meet seniors' needs.
A study published in Critical Care Medicine found that telemedicine consultations significantly improve the quality of care for seriously ill and injured children treated in remote rural emergency rooms. The research showed that patients' satisfaction and perception of their child's care are also improved when consultations are provide...
Cases of children ingesting magnets led to a quintupling of incidents between 2002 and 2011. Ingestion of multiple magnets resulted in more severe outcomes, including emergency surgery.
The article highlights the need for a systematic framework of case identification, triage, and mental health interventions in post-disaster settings. Researchers found that standard treatments like pharmacotherapy and psychotherapy are effective, but psychosocial interventions have not been sufficiently evaluated.
A study published in Annals of Emergency Medicine found that observing children with minor blunt head trauma in the emergency department before ordering a CT scan can significantly reduce the need for CT scans. The study found that every hour of observation time decreased CT rates by approximately 70% on average.
Prothrombin complex concentrates (PCCs) are recommended as the first line of defense for reversing warfarin-associated hemorrhage in emergency departments. PCCs can reverse anticoagulation three to five times faster than fresh frozen plasma, making them a life-saving treatment option.
New research from The Children's Hospital of Philadelphia estimates a potential surge in medically-attended injuries, particularly among currently uninsured young adults who will now be able to access affordable care. The study predicts an increase in demand for treatment among younger patients with mild and moderate injuries.
A study of 43,979 patient records found that emergency physicians correctly identified nearly all patients with Bell's palsy. The majority of patients with life-threatening alternative diagnoses were accurately diagnosed without advanced diagnostic tests.
Research from Penn Medicine reveals that urban counties have a lower risk of injury-related death compared to suburban and rural counties. Motor vehicle collisions were found to be the leading cause of death in both urban and rural areas.
A study found that large cities have a lower risk of injury death compared to rural areas, with a 40% higher risk of unintentional injury death in the most rural counties. The risk of firearm-related deaths varied by age and race, but was generally higher in rural areas.
A new study reveals significant variability in patient death rates following emergency surgical admissions in England. Hospitals with better resources tend to have higher survival rates, suggesting that quality of care is a key factor in mortality rates.
A study found that men with high-deductible health plans reduced emergency department visits for even severe problems, but later saw an increase in hospitalizations. In contrast, women responded more appropriately to the plan's limitations, reducing ER visits only for less-severe issues.
Emergency physicians used a new tool to assess drug-seeking behavior in the emergency department with an accuracy rate of 87%, according to a recent study. The use of prescription monitoring programs data helped reduce changes in prescribing plans from over 35% to less than 10%.
A new study by the University of Michigan Injury Center found that nearly one in four young assault victims have a gun, mostly obtained illegally, which increases their risk for future firearm violence. The study also revealed high rates of substance use, fighting, and attitudes favoring retaliation among those with guns.
A new study from the University of Pennsylvania School of Medicine found that low-income patients prioritize hospital care over primary care due to concerns about cost, quality, and accessibility. The study suggests that efforts to reduce hospital readmissions may inadvertently attract more low-SES patients.
Research from Brigham and Women's Hospital finds that the aging US population will lead to longer emergency department visits and more frequent hospitalizations, but not an increase in overall ED visits. The study predicts a 10% increase in time spent by patients in EDs nationwide, highlighting the need for efficient patient flow.
A young man experienced severe compartment syndrome in his shoulder due to excessive weightlifting, requiring surgery and hospitalization. The case report emphasizes the importance of recognizing unusual musculoskeletal injuries and highlights the role of bedside ultrasound in diagnosis.
Researchers found that older emergency patients have functional and cognitive problems increase dramatically after arrival. These patients often require specialized training in geriatric care to provide the best assessment and care.
A study by the American College of Emergency Physicians found that electronic medical records (EDIS) can improve healthcare quality, but also present significant safety threats. The authors recommend seven key improvements to mitigate these risks and ensure safer EDIS implementation.
A study analyzing high-cost Medicare patients' spending found that only a small percentage of their costs were related to preventable emergency department visits and hospitalizations, limiting the ability to lower costs through better outpatient care. The majority of inpatient costs were attributed to catastrophic events such as sepsis...
A recent study confirms the growing role of emergency physicians in healthcare beyond the emergency department. Most unscheduled hospital admissions now come through the ER, indicating a shift in how patients are referred to hospitals.
The Hartford Consensus aims to establish a shared, common terminology for first responders to improve victim care. The plan emphasizes bleeding control, law enforcement training, and local coordination of resources.
A new study found that children with extended evening office hours had half as many emergency department visits, but only half of parents knew their child's office was open after 5 PM. Enhanced access services like same-day sick visits were not associated with reduced emergency department use.
Researchers at Imperial College London found that patients with timely access to GP appointments made fewer A&E visits. The study analyzed data from a national survey of patients' experiences of GP practices in 2010-11, revealing a 10.2% lower rate of A&E visits for the best-accessed practices compared to those with the worst access.
Researchers found that using stress cardiac magnetic resonance imaging in an Emergency Department observation unit reduced hospital readmissions, coronary revascularization procedures, and the need for additional cardiac testing. This approach also helped reduce care costs by $2,100 per patient per year.
A University of Pittsburgh study found that most medical emergencies on flights are well-treated by passengers and flight attendants, with physicians providing guidance via FAA-required emergency medical kit. In nearly half of calls, physician passengers provided medical assistance, while nurses and EMTs helped in another 28 percent.
A new federal law has protected young adults, their families, and hospitals from the financial consequences of serious medical emergencies. The study found that $147 million in nondiscretionary medical care was newly covered by private insurance.
A study by Brown University found that three out of five hikers brought seven or fewer items, while only 18 percent packed all 10 essential items. Young and inexperienced hikers were most likely to lack multiple items recommended by the State of New Hampshire's HikeSafe program.