Articles tagged with Emergency Medicine
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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.
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.
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 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%.
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 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.
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 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 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 study found that disabled Medicare patients under 65 who face cost barriers to medication adherence are more likely to have emergency department visits. The study revealed that 38.3% of patients with severe cost-related non-adherence had at least one ER visit, compared to 27.5% without CRN.
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.
A regional system of organized stroke care delivery has improved outcomes for patients with stroke in Ontario, Canada. The study found a decrease in hospital admissions to long-term care facilities and death rates after stroke.
Overweight and obese patients are more likely to repeatedly change primary care doctors, leading to increased emergency room visits. The practice of 'doctor shopping' disrupts continuity of care and can compromise the health of these patients.
LWW's 8 published journals won gold, silver and bronze awards in various categories. Wolters Kluwer Health received the recognition for delivering high-quality publications.
Emergency departments are now responsible for half of all hospital admissions in the US, accounting for nearly all growth in hospital admissions between 2003 and 2009. Despite evidence that people with chronic conditions visit emergency departments more frequently, hospital admissions for these conditions have remained flat.
The RAND Corporation report highlights emergency physicians' critical role in evaluating, managing, and preventing hospital admissions. The study found that ERs account for nearly half of all hospital admissions, with non-elective admissions increasing 3.8 times the rate of population growth.
Researchers at the University of Cincinnati have discovered a novel delivery method for the enzyme plasmin, which is more effective at dissolving blood clots than the standard treatment rt-PA. The new technique uses liposomes and ultrasound waves to target plasmin directly to the clot.
A new study reveals a significant increase in US ICU admissions, rising from 2.79 million to 4.14 million over seven years, primarily due to an aging population. The study found that emergency department utilization of tests and services also increased, with CT and MRI tests provided on the way to the ICU jumping by 61%.
Researchers found that passenger car drivers are nearly 10 times more likely to die in head-on crashes with SUVs, even if the SUV has a better safety rating. The study also showed that passengers in smaller vehicles face higher death rates in frontal crashes.
A large-scale analysis of out-of-hours emergency admissions in UK pediatric intensive care units found no increased mortality risk. However, winter months saw a statistically significant increase in deaths, possibly due to strain on services.
Two studies published in Annals of Emergency Medicine show that most children hospitalized with isolated skull fractures can be safely discharged home, potentially saving the healthcare system millions of dollars. New weight estimation devices, such as the Mercy TAPE, also provide more accurate pediatric weight estimations.
A recent analysis published in the Annals of Emergency Medicine found that emergency care cost estimates are too low, with costs ranging from 4.9-5.8% of total healthcare spending. The study suggests that an alternative accounting method, Time-Driven Activity-Based Costing (ABC), could provide a more realistic measure of ED costs.
Northwestern Medicine researchers developed a proactive risk assessment method to evaluate and improve door-to-balloon time for STEMI patients. By identifying high-risk steps and implementing changes, they achieved significant improvements in door-to-balloon times, with an average reduction of 20 minutes.
Long waits for insurance authorization are wasting thousands of hours of physician time, as most requests are granted. ERs have become de facto psych wards due to inadequate insurance coverage and reimbursement issues.
Researchers found that severely ill psychiatric patients in the Boston area experience lengthy waits for hospitalization, with some cases taking up to five hours of psychiatrist time. This delays treatment and wastes valuable clinician time, highlighting the need for reform in the healthcare system.
A study by Harvard Medical School found that losing health insurance leads to poor asthma management among young adults, who are more likely to use emergency rooms and struggle with accessing medical care. The researchers emphasize the need for addressing social factors and creating transition plans from pediatric to adult care.
A new study found significant variability in sepsis incidence rates depending on the method used, with a 3.5-fold difference between methods. This discrepancy limits efforts to improve treatment for sepsis, highlighting the need for uniform definitions and universal measurement of outcomes.
A Penn study found nearly one quarter of patients may return to the emergency department within 30 days of being discharged from a hospitalization. Congestive heart failure was the primary diagnosis for these return visits, with other diagnoses varying in subsequent rehospitalizations.
A study of over 4 million Veterans Health Administration records found that patients with severe psychosocial dysfunction and medical needs frequently visit the ER. Improved health outcomes may be achieved through increased spending on social services, such as housing subsidies and income supplements.
For-profit hospitals have outperformed public and non-profit hospitals in treating stroke, heart attack, and pneumonia patients. Despite struggling initially, many public and non-profit hospitals are showing notable improvements in performance.
A recent study by Beaumont doctors highlights the importance of training and emergency response planning in K-12 schools to reduce sudden cardiac arrest fatalities. The study found that bystander use of automated external defibrillators (AEDs) increases survival rates threefold, emphasizing the need for standardized training and drills.
A new study found that primary stroke centers administered clot-busting treatment, rt-PA, at a rate of 6.7%, compared to 2.2% at non-certified centers. The use of rt-PA therapy increased by 50% between 2004 and 2009 at PSCs.
A new UCSF study shows that using discharge diagnoses to determine ER visit validity could dissuade patients from seeking emergency care for serious conditions. The research highlights the complexity of the issue, suggesting strategies to narrow ER use may not improve health or lower costs.
A study found that only 6.3% of emergency department visits with primary care-treatable diagnoses also had nonemergency complaints, highlighting the flaws in using discharge diagnosis to predict ED use. Patients with nonemergency-complaint ED visits often required immediate emergency care or hospital admission.
A new study reveals that telestroke programs in Oregon increased access to life-saving stroke care by 40%, extending coverage to previously uncovered communities. The program utilizes telemedicine systems to bring expert consultations and treatments, reducing disparities in stroke care access.
The partnership will enhance the quality of research and clinical content presented by JAAPA, a leading journal for PAs. The agreement aims to broaden the reach of the official peer-reviewed journal and provide value-added services to AAPA members.
A team of University of Michigan doctors analyze the shortcomings of the Affordable Care Act and Reagan-era emergency access law, emphasizing the need for preventive care and coordinated care. The authors conclude that modern healthcare reform must address these gaps to bring the nation closer to a goal of comprehensive care for all.
A study of over 12,000 children has identified seven factors that can help physicians determine if a CT scan is necessary following blunt trauma to the abdomen. Children with none of these factors have only a 0.1% chance of having an abdominal injury requiring acute intervention.
A recent study found that free clinics significantly reduced non-emergency emergency department visits among uninsured patients. The research, conducted in Virginia, analyzed records of 52,010 individual uninsured patients who visited five hospitals' emergency departments over three years.
A cohort study found that patients admitted as emergencies on public holidays are more likely to die than those admitted on other days of the week. The death rate is significantly higher for public holiday admissions, with a 48% increase in 7-day deaths and a 27% increase in 30-day deaths.
A new study found nearly 18% of hospitalized patients returned to the emergency room or were readmitted within 30 days of discharge, with mental health and prostate issues having the highest rates. The study suggests that many more patients require acute medical care after hospitalization than previously recognized.
A new NIH-funded study shows that inexpensive education efforts can increase safe use of clot-busting drug tPA at local hospitals, improving stroke care. Community hospitals across Michigan saw a significant improvement in tPA use rates after receiving educational support and round-the-clock treatment assistance.
Every week, the UK National Poisons Information Service receives around two phone queries about snakebites, with over half of these enquiries concerning the European adder, the only poisonous snake native to the UK. Snakebite injuries can be serious due to their effects on the heart and other organs, despite being rarely fatal.
A recent study published in The Lancet found that intensive therapy is no more effective than traditional care in speeding up recovery from whiplash. While physiotherapy interventions showed modest benefits, they were not cost-effective from a UK NHS perspective.
A survey of 1,293 neurologists found that nearly 29% have experienced burnout, while 45.8% are concerned about it. The neurohospitalist model offers advantages like high-quality care and improved continuity, but also challenges such as long work hours and poor reimbursement.
Research found that sickle cell patients experience a significant increase in emergency department visits and hospitalizations as they transition from childhood to adulthood. The study, which analyzed data from over 3,200 patients, showed that emergency room visits tripled between ages 15-24.
Research identifies key challenges in providing adequate care to adult SCD patients, including increased reliance on emergency departments and hospitalizations. The studies suggest that targeted interventions can reduce unnecessary medical utilization and promote long-term disease management, ultimately improving health outcomes for th...
A recent study found that palliative care services significantly reduced emergency room visits and depression among seniors in long-term care. The intervention provided improved end-of-life quality of care by treating pain and symptoms, decreasing hospitalizations, and supporting patient-centered care.
A recent survey of female adult entertainment club workers in Rhode Island found that many have never been tested for HIV despite risky sexual behavior and substance abuse. The study highlights the need for proactive education and interventions to reduce health risks among this population.