Articles tagged with Emergency Medicine
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A recent study from Michigan Medicine found that 16% of emergency room patients aged 14-20 may have undiagnosed binge eating, bulimia, or other eating problems. Those with signs of eating disorders were also more likely to show signs of depression and substance abuse.
A recent survey found that 69% of US primary care physicians use electronic medical records, but still face challenges with communication and teamwork. The majority of doctors support a fundamental health system change to address these issues, while also expressing frustration with insurance restrictions and patient affordability.
A new study by a University of British Columbia medical resident found that hypothermic patients in cardiac arrest have a 50% chance of surviving if transported to a hospital with advanced heart and lung support equipment. Non-invasive rewarming techniques, such as hot air blankets, are recommended for mild cases.
A study at the University of Texas Health Science Center at Houston aims to enhance ER care by reducing information overload and improving communication among healthcare teams. The researchers will test new electronic health record systems and communication prototypes to help doctors make informed decisions.
Experts in PLOS Medicine recommend new signal functions to track the quality of routine and emergency newborn care. The new methods aim to improve maternal and newborn care in low- and middle-income countries, helping to meet Millennium Development Goals 4 and 5.
A study of ER docs and pediatricians found a need for concussion-specific training and infrastructure to support optimal patient care. The Children's Hospital of Philadelphia created a new 'medical home' model for managing pediatric concussions, incorporating standardized clinical decision support tools and patient education.
A study by the American College of Allergy, Asthma, and Immunology found that individuals with severe anaphylaxis are less likely to have seen an allergist in the previous year. Regular care from an allergist can prevent severe allergic reactions and reduce hospitalization rates.
Researchers found that residents in high-income white and integrated neighborhoods were more likely to receive bystander CPR during out-of-hospital cardiac arrests compared to those in low-income black neighborhoods. The study suggests a targeted approach in these areas may be more efficient than nationwide CPR training programs.
The European Society of Cardiology emphasizes the importance of timely medical care in cardiac emergencies. Early recognition and call for help can lead to better diagnosis and treatment outcomes. The organization aims to improve patient survival rates through education and collaboration among professionals.
A recent fungal meningitis outbreak has highlighted the aggressive nature of this condition, particularly after joint or bone injections. The researchers report on a clinical observation involving a patient who died due to severe brain and spinal cord damage.
Emergency medicine residency programs in Canada are underprepared to handle stroke cases, with limited lecture time and on-the-job training devoted to the topic. Researchers found that only two programs required on-the-job training in stroke neurology.
A study led by Dr. Najma Ahmed found that lack of control over resources and work-life balance contribute to dissatisfaction among general surgeons. Surgeons cite enjoying patient interactions and resolving problems quickly as key sources of satisfaction.
A new series published in The Lancet presents laboratory research and clinical trial results on traumatic brain injury, haemorrhagic shock and major musculoskeletal injuries. Researchers identified promising avenues for improving patient outcomes, including innovative treatments for these complex conditions.
A University of New Hampshire researcher has received a $62,521 grant from NFL Charities to study the safe removal of protective equipment from injured players. The grant will allow Erik Swartz to work with high-fidelity human patient simulators at WakeMed Health and Hospitals in Raleigh, N.C.
The ESC has launched a new acute cardiovascular care association, expanding its scope to cover the entire first seven days of acute cardiovascular disease. The association aims to improve quality of care through an integrated patient-oriented approach.
A national survey of 7,288 US physicians found that 45.8% reported symptoms of burnout, with higher rates in emergency medicine and family medicine specialties. The study highlights the need for policy makers and healthcare organizations to address physician burnout to improve patient care.
Research reveals substantial variation in stocks of essential antidotes at UK acute hospitals, with many lacking critical medicines for life-threatening poisonings. Only half of hospitals stock all recommended antidotes, highlighting a concerning gap in care.
A recent study examines ambulance diversion in California hospitals, finding that minority populations are more likely to be impacted by ER crowding. The researchers discovered that hospitals serving high numbers of minorities were on diversion for 306 hours, compared to 75 hours at hospitals with fewer minority patients.
A study by Rhode Island Hospital researcher Megan L. Ranney found that emergency department patients prefer technology-based interventions for seven behavioral issues. Patients surveyed preferred technology over traditional intervention methods, indicating a potential solution to barriers in helping patients change risky behaviors.
A new study finds that patient-centered medical homes (PCMHs) have higher per-patient operating costs, with additional expenses for personnel, technology, and quality improvement measures. The PCMH model aims to improve care quality and reduce wasteful spending, but its financial sustainability is threatened by these increased costs.
Research suggests up to 640,000 hospital admissions and nearly 2 million emergency department visits may be linked to alcohol consumption. Patients who admitted to drinking before their visit were more likely to have injuries and exceeded recommended weekly units.
The Rutgers Center for State Health Policy will lead a project to replicate innovative care management programs in four US cities, including Camden, NJ, and other safety-net health provider organizations. The project aims to deliver better care at lower cost to high-need patients from low-income communities.
A study found that First Nations children and those from families receiving government subsidies had significantly more visits to emergency departments for mental health crises. These visits were often due to anxiety- or stress-related disorders, emotional or behavioural issues from substance abuse, or unspecific diagnoses.
A study by Children's National Hospital found that nearly all minority and socioeconomically disadvantaged families in urban areas had access to the internet. More than half expressed interest in receiving electronic health information from emergency departments, with email being the preferred method of delivery.
A study found that half of adults over 65 made at least one ED visit in the last month of life. In contrast, those with hospice care lived longer outside the hospital. Hospice care provides symptom relief and support for patients nearing end-of-life, whereas ED visits can be expensive and contribute to high costs of care.
A new program, RACE-ER, has been implemented to improve heart attack treatment times and patient survival rates. The initiative, which involves all hospitals and emergency services in North Carolina, has reduced the time from diagnosis to treatment from 103 minutes to 91 minutes.
The May issue of Reproductive Health Matters explores the causes and impact of the gap between policy and practice in maternal health and maternal mortality in India and other countries. It highlights both the good and bad news characterizing this gap, including hopeful signs of progress.
A new index reveals that 71% of Australians live near specialist hospital care and four types of aftercare within an hour's drive. However, rural and remote communities face significant challenges in accessing cardiac care, with Indigenous people living at a lower rate than non-Indigenous Australians.
A new program will coordinate regional systems to reduce time from heart attack to treatment, building on the successful Mission: Lifeline program. The Regional Systems of Care Demonstration Project aims to develop coordinated, regional systems of care that start at the 911 call and include ambulance transport and hospital treatment.
A Penn study found that more than 75% of cardiac arrests occur outside the range of nearby automated external defibrillators (AEDs), highlighting the need for strategic placement and easy location. The study suggests innovative ways to help the public find AEDs in emergencies.
A new study found significant disparities in emergency department treatment based on children's insurance status. Children with private, public, and no insurance were less likely to undergo testing, receive medication, or undergo procedures, but more likely to be diagnosed with a significant illness.
The Regenstrief Institute's Aging Brain Care Program is launching a global initiative to provide collaborative dementia care. The program's tools and resources aim to reduce emergency room and hospital visits by up to 45%, improving the quality of care for those with dementia.
A Vanderbilt study found that only 7% of Tennessee hospitals have a hand specialist on call 24/7 to treat common injuries such as wrist and finger trauma. Patients from surrounding states travel long distances for treatment and follow-up care.
A scheme supporting midwives in rural Nigeria has improved maternal, newborn, and child health outcomes by redistributing healthcare workers. The Midwife Service Scheme helps address health inequities between urban and rural areas, offering a potential model for low-income countries.
A study by the American Academy of Pediatrics found racial differences in the care of children in emergency departments. Black children are less likely to receive pain medication for severe abdominal pain compared to white patients. This disparity has significant implications for equal access to high-quality healthcare.
A study published at the Pediatric Academic Societies annual meeting found that family presence did not hinder trauma teams' ability to treat injured children. The research evaluated the effect of family presence on the trauma teams' ability to identify and treat injuries during the initial phase of care.
Experts propose a new model of care collaboration for diagnosing, treating, and following patients with emergent cardiovascular conditions. Regionalized systems of care can improve clinical outcomes by providing rapid diagnosis, effective care coordination, and appropriate follow-up care.
A University of Leicester study found that continuity in general practice is associated with reduced hospital admissions. Practices with higher proportions of patients aged 65 and white ethnicity had higher rates of elective hospital admissions, while those with more male patients and patient satisfaction had fewer admissions.
Research based on 367 men and 370 women found that those who are retired, unmarried, or depressed are most at risk of needing urgent hospital care. Men were twice as likely as women to require further urgent hospital care within 30 days of discharge.
A review of the initial medical response after a Christchurch earthquake found that careful preparation and effective triage helped reduce death rates and the burden of injury. The response was critical due to the city's only hospital being damaged, but radiotelephones and mobile phones were used to keep staff updated.
A study found that newly insured and uninsured adults had greater emergency department use than continuously insured adults. Adults with recent changes in health insurance status, particularly those with new Medicaid coverage, were disproportionately likely to use EDs, suggesting reduced access to primary care services.
A national survey of UK ambulance services found significant variation in response to elderly falls patients, with some trusts utilizing dedicated clinical advisors and triage systems. Despite efforts to reduce delays, the provision of care remains inconsistent, highlighting the need for research to inform policy and practice development.
Paramedics can reduce medical contact to balloon time by calling ahead to activate helicopter emergency medical services (HEMS), speeding up patient care. This study found that HEMS activation in the field or at a smaller hospital can save up to 48 minutes of treatment time
A new study led by Stanford researchers found that ibuprofen significantly reduced the incidence of altitude sickness in a double-blind trial. Ibuprofen reduced symptoms by 26% and was found to be more attractive than other medications, such as acetazolamide, due to its safety profile.
Research published in BMJ Quality & Safety found that some NHS trusts deliver a consistently better experience for patients, with a strong association between Foundation Trust status and improved performance. The study identified system-wide successes and failures, highlighting areas for improvement across the healthcare system.
A Rhode Island Hospital physician describes his experience caring for over 1,300 patients in a Libyan field hospital, highlighting the importance of strong logistical support and supply chain management. Community support was also vital to the project's success, with local staff and volunteers playing a key role.
A new study from Brigham and Women's Hospital found that a CMS quality measure assessing CT scans in emergency departments is unreliable, affecting up to 83% of patients. The measure may lead to inaccurate comparisons of imaging performance among hospitals.
A new study from VCU researchers found that a managed care plan can reduce the cost of caring for the uninsured population who gain coverage through the Affordable Care Act. The study showed that emergency department visits and inpatient admissions declined, while primary care visits increased during the seven-year period.
Researchers created an emergency general surgery registry (EGSR) to analyze and improve surgical outcomes for patients. The registry includes ICD-9 codes to define and evaluate EGS cases, covering a range of pathologies including appendectomy, hernia repair, and cholecystectomy.
The study analyzed ED data from the 2008 National Hospital Ambulatory Medical Care Survey and found that patients treated at safety-net EDs were more likely to be young and minority than those treated at non-safety-net EDs. Despite concerns about performance measures penalizing underfunded safety-net institutions, the study suggests th...
A study found no significant difference in length of stay between safety-net and non-safety-net hospitals. To improve patient outcomes, quality improvement initiatives should focus on changes within and outside the department, along with supplying necessary resources.
A nationwide study reveals that most young people who present to emergency departments with deliberate self-harm are discharged without receiving a mental health assessment. The study found that only 39% of patients discharged to the community received a mental health assessment while in the emergency department.
Rhode Island Hospital's new simulation-based training program, Project CLEAR!, aims to standardize communication skills among emergency department staff and enhance patient satisfaction. The program has been successfully implemented with nearly 400 staff members, resulting in improved quality of care, safety, and service.
Elderly patients who visit emergency departments are three times more likely to develop respiratory or gastrointestinal infections after returning to a long-term care facility. Isolating residents for 7 days following an ED visit can help prevent outbreaks and reduce the financial burden on healthcare facilities.
A visit to the emergency department during nonsummer months was associated with a three-fold risk of acute respiratory or gastrointestinal infection in elderly residents of long-term care facilities. The study found that these residents had a higher rate of chronic illnesses and were more likely to be less independent.
New guidelines aim to reduce waiting times and improve patient outcomes for patients with hip fractures. The guidelines recommend fast-tracking admission, multidisciplinary care, and surgery within 48 hours of hospital admission.
A study published in Archives of Ophthalmology found that commercial insurance was the most frequent payer of emergency department outpatient services in Florida, followed by self-pay and Medicaid. The data suggest a shift towards Medicaid as patients move into eligible categories, which may impact eye care delivery models in the state.
A statewide survey will help assess the pediatric emergency readiness of hospital emergency departments in California and beyond. The project aims to determine what resources hospitals are lacking to treat young patients and how they can acquire them.
The Oregon Health & Science University's Physician Orders for Life Sustaining Treatment (POLST) program has expanded to 34 states and improved end-of-life care outcomes. The program provides a comprehensive set of medical orders based on patient preferences, ensuring accurate treatment with a high degree of accuracy.
A study of 3.8 million rave attendees in the Netherlands found that nearly 28,000 people experienced substance-related problems, with 16 cases being life-threatening. Most problems were associated with ecstasy or alcohol, while GHB usage required medical attention but showed no acute life-threatening effects.