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.
Practical application of scientific knowledge and engineering principles to solve real-world problems and develop innovative technologies. Encompasses all engineering disciplines, technology development, computer science, artificial intelligence, environmental sciences, agriculture, materials applications, energy systems, and industrial innovation. Bridges theoretical research with tangible solutions for infrastructure, manufacturing, computing, communications, transportation, construction, sustainable development, and emerging technologies that advance human capabilities, improve quality of life, and address societal challenges through scientific innovation and technological progress.
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 study by Weill Cornell and UC Davis foresees improvements in patient outcomes after a major earthquake through more effective use of information technology. The control tower-style telemedicine hub could boost the likelihood that critically injured victims will get timely care and survive.
Trauma patients who arrive at hospitals on weekends are more likely to survive, according to new research. The study found that the unique organization and staffing of trauma systems provide a built-in protection for these critically injured patients.
Ivory wave has emerged as a new legal high, replacing banned substance mephedrone, with reports of hospital admissions and deaths in various parts of England. The drug's effects include euphoria, paranoia, and cardiovascular problems, leading to violent behavior and organ damage.
A study by the American Heart Association found that brief video training significantly improves hands-only CPR performance, with over 90% of trained participants attempting CPR in an emergency. The training also showed improved compression rates and depths compared to untrained individuals.
A study published in CMAJ found that heart attack patients with a history of depression received lower priority care in emergency departments, leading to delays in diagnosis and treatment. This disparity may be due to healthcare staff assuming symptoms are anxiety-related rather than an actual heart attack.
A study by researchers at UCLA Stroke Center found that strokes and cardiovascular disease exacted an enormous toll on Hollywood stars. The team identified 30 actors who suffered strokes and 39 heart attacks among Oscar nominees between 1927 and 2009, with women accounting for 60% of stroke victims.
Researchers developed a new mode of dementia care that significantly reduces emergency department visits and hospitalizations, while encouraging the use of non-harmful medications. The model results in improved health outcomes, reduced healthcare costs, and less emotional burden on family caregivers.
A systematic review of international evidence found that up to three-quarters of hospital tests are not followed up after discharge, posing serious safety implications for patients.
A study published in PLOS Medicine found that only a third of births in rural Zambia occurred at a health facility, with half of mothers living over 25 km from basic emergency obstetric care. The level of care at the facility significantly influenced the odds of facility delivery.
A study found that patients with ischemic stroke admitted to designated stroke centers had a lower risk of death at 30 days compared to those admitted to non-designated hospitals. The mortality rate was reduced by 2.5% in patients treated at stroke centers.
Hospitals with designated stroke centers in New York State have a significantly higher survival rate for patients with ischemic stroke, with a 15-20% increased likelihood of survival. Patients treated at these centers are also more likely to receive acute stroke therapy.
Researchers recommend a selective CT scan strategy to diagnose pulmonary embolism, reducing radiation exposure and adverse reactions. The approach involves using compression ultrasound to test for deep vein thrombosis before ordering a CT scan, resulting in cost savings and increased life expectancy for patients.
A new CPR technique using compression-decompression and negative intrathoracic pressure increases blood flow to the heart and brain by nearly three times, leading to a 53% improvement in long-term survival. The study involved 46 EMS agencies and showed that this alternative method is more effective than standard CPR.
A recent study from Rhode Island Hospital found that sailing injuries on America's Cup boats are often caused by trips, falls, and collisions with fellow crew members. The majority of severe injuries were to the head, knee, leg, and arm, with heavy weather being a contributing factor in 36% of cases.
Research reveals that teen girls living in the most deprived areas are five times as likely to be assaulted compared to their affluent peers. The disparity is particularly pronounced for girls living in city areas, who are almost three times more likely to experience assault.
A pediatric trauma research network is crucial to develop evidence-based recommendations for improving standard of care for children injured in traumatic events. The establishment of such a network could minimize the occurrence and severity of pediatric trauma.
Vanderbilt University researchers are developing a robot system called TriageBot to assist in emergency room triage, collect medical data, and provide tentative diagnoses. The system aims to reduce wait times, alleviate staff strain, and minimize errors.
A recent French survey reveals that one in two emergency care doctors are prone to burn-out, with tension between home and working life being a significant factor. Poor teamwork also significantly increases the risk of burn-out among these physicians.
A study of UK trauma units found that every 5°C rise in temperature boosts kids' hospital admissions for serious injury by 10%, while snow prompts an 8% rise. The analysis of over 60,000 patients showed strong seasonal trends and correlations between weather conditions and admission rates.
A study published in the Journal of Advanced Nursing found that a nurse practitioner-led spinal clinic achieved 100% agreement on clinical diagnosis and 96% patient satisfaction. Patients waited an average of 12 weeks to see the nurse practitioner, significantly shorter than conventional clinics.
Researchers found that cardiac arrest patients treated with therapeutic hypothermia may experience substantial neurological awakening, which can start as early as day three but becomes apparent at day seven. This challenges the current paradigm of withdrawing care based on a 72-hour neurological exam.
Three models of comprehensive primary care, including GRACE, Guided Care, and PACE, have shown promise in improving effectiveness and efficiency for complex primary care. These models focus on proactive processes such as comprehensive assessment, evidence-based care planning, and coordination of professionals to tailor care to patients...
A geriatrician calls for improvements to primary care to meet the needs of older adults with multiple chronic conditions. Four processes and three models were identified as effective in providing comprehensive support, improving health outcomes, and patient satisfaction.
Research finds that patients receiving a combination of ketamine and propofol have a faster recovery time and less severe side effects compared to using ketamine alone. The study, conducted by Drs. Amit Shah et al., included 136 children treated in the Paediatric Emergency Department.
Research suggests that while some survivors of disasters experience severe psychological trauma, others may recover within a few months or years. Effective psychological first aid and community-centered interventions have been shown to be beneficial in supporting survivors' recovery.
A Stanford study finds that 90% of emergency departments nationwide provide preventive-care services, despite being under pressure to prioritize acute care. The most common service is domestic violence screening, while HIV screening is the least offered. Many EDs struggle to balance quality and cost constraints.
Researchers found persistent racial, gender, and insurance-coverage based differences in triage categorization and cardiac testing among emergency room patients. African American and Hispanic patients were less likely to receive immediate care or basic cardiac testing procedures, such as ECGs.
A recent Editorial in The Lancet highlights the need for strong leadership and education to redefine surgery's role and extend its benefits to wider populations. Key findings include inadequate operating theatres, anaesthetic cover, and emergency care provision, as well as surgeons' absence from healthcare debates and positions of power.
A study of 32,782 patients found that delays in performing appendectomies for acute appendicitis did not significantly affect 30-day outcomes. Patients who waited longer for surgery experienced slightly longer operations and hospital stays but these differences were clinically insignificant.
A new study by the RAND Corporation found that up to 27.1% of hospital emergency department visits could be treated at retail medical clinics or urgent care centers, which could save $4.4 billion annually in healthcare costs. These conditions include minor infections, strains, fractures, and lacerations.
A recent study found that over a quarter of acute care visits in the US are made to emergency departments, instead of personal physicians. This shift is attributed to primary care doctors' packed schedules and low reimbursement rates, which limit their ability to provide timely access to care.
A survey of 61 EMS agencies found wide variation in perceptions of workplace safety culture, with air-medical agencies tending to score higher across all domains. The study provides benchmarking data for EMS agencies and a reliable tool to evaluate safety within their agencies.
A predictive model using factors like age, blood pressure, and heart rate accurately predicted the development of critical illness in patients who received out-of-hospital emergency care. The study found that hospitals varying widely in quality of critical care could improve outcomes for critically ill patients by concentrating care at...
A retrospective study of 17 surgical programs from 13 countries found that the operative death rate was 0.2 percent, suggesting safe surgery is possible in these settings. The study highlights the need for quality improvement programs and global minimum standards for surgical care in humanitarian contexts.
A study published in The Lancet found that specialist retrieval teams significantly reduce mortality rates among children transferred to pediatric intensive care units. Children admitted from other hospitals had better outcomes and lower mortality rates when transferred by specialist teams compared to non-specialist transfers.
A community-based maternal health delivery strategy known as the MOM Project increased access to maternal health care services for internally displaced women in eastern Burma. The study found a ten-fold increase in women assisted at delivery by emergency obstetric care workers, resulting in improved antenatal and postnatal care outcomes.
A study found that nearly half of suicides among mental health patients occurred within a year of visiting an emergency department, highlighting the need for better screening and assessment practices. Frequent attendees were more likely to have a history of self-harm and alcohol misuse, underscoring their high risk group status.
Physicians who provided Guided Care reported higher levels of satisfaction with patient/family communications and knowledge of their patients' clinical characteristics. The study found significant benefits to physicians in improving chronic care, including reduced costs and improved health outcomes.
A study by the University of Michigan Health System found that female physicians are more supportive than male physicians when it comes to honoring patient requests for a doctor of the same gender or background. The study also showed that racial and ethnic minorities, particularly Muslim patients, are more likely to have their requests...
A study of 193,804 trauma patients found that uninsured individuals were more likely to die from injuries than those with private insurance. Patients covered by Medicaid or other insurance plans had better mortality rates for all injuries compared to those without insurance.
A study by OHSU Emergency Department found that Oregon's law prohibiting the sale of pseudoephedrine products led to a significant decrease in methamphetamine-related emergency room visits. The number of such visits dropped by 35% over a one-year period, from an average of 18 per week to 11.3.
A study conducted at Henry Ford Hospital found that keyboard contamination was predominantly in non-treatment areas, suggesting alternative keyboard designs may improve safety in these areas
A study found that widespread use of the Canadian C-spine rule by triage nurses in emergency departments would alleviate discomfort among trauma patients and streamline patient flow. The rule helps clinicians make diagnostic or therapeutic decisions about cervical spine evaluation, reducing unnecessary immobilization time.
A new study reveals racial disparities in emergency department documentation of sexual histories for adolescent girls, with black teens more likely to have their history documented than white teens despite higher STI incidence rates. This finding highlights the need for standardized care and attention to racial disparities in healthcare.
The medical home prototype improved quality of care, patient experiences, and clinician well-being, with significant cost savings through reduced emergency visits and hospitalizations. The study's findings support the model's ability to address healthcare concerns and provide recommendations for implementation.
A study by Sue J. Goldie and colleagues finds that better family planning, safe abortion, and improved obstetrical care can reduce maternal mortality in India by 75% in under a decade. Integrated approaches can prevent more than 3 out of 4 maternal deaths.
A new study found that child care directors in metropolitan Milwaukee would unnecessarily exclude 57% of children with mild illnesses from care. The American Academy of Pediatrics and the American Public Health Association have established guidelines to address this issue, but their implementation remains inconsistent.
A British study found that nearly two-thirds of patients were unaware they had a minor stroke and over one-third delayed seeking medical attention for more than 24 hours. The study suggests a lack of public awareness about recognizing the signs of a minor stroke, with people from all demographics showing similar lack of knowledge.
A study published in JAMA found that patients without health insurance are more likely to delay seeking emergency care for a heart attack. Those with financial concerns about accessing care also tend to delay treatment.
A study found that people with no health insurance are twice as likely to receive inadequate treatment for migraines compared to those with private insurance. Migraine patients on Medicaid are 1.5 times more likely to receive substandard care.
A new study published in JAMA found that four out of ten people treated for sickle cell disease are readmitted within 30 days, highlighting the need for improved care. The study also revealed higher rates of rehospitalization and emergency department visits among younger patients with Medicaid or public insurance.
The Regenstrief Institute is leveraging its Indiana Network for Patient Care to automate the disability case determinations process, reducing time and increasing completeness of medical data. This will facilitate faster decision-making and decrease the burden on healthcare providers.
A study found that nearly half of dying cancer patients visit the emergency department in the last two weeks of life, often due to uncontrolled symptoms. Effective palliative care can help manage these symptoms and reduce visits to the emergency department.
A study found that medical dramas and reality TV shows responded inappropriately to seizures nearly half the time, with improper practices occurring in 25 cases. The American Academy of Neurology urges the TV industry to adhere to seizure management guidelines.
Researchers found no increased mortality risk among trauma patients presenting on nights and weekends, unlike other critically ill patients. Trauma centers' 24/7 staffing ensures consistent care regardless of time of presentation.
Chronic illness patients supported by nurse-physician teams rate primary care as significantly higher than usual care recipients. Guided Care improves coordination with specialists, self-management support, and goal-setting assistance.
A new study published in Pediatrics reveals that low-income children who lack continuity with a regular health care provider are significantly more likely to have unmet health care needs. The study found that 79% of children without a usual source of care had an unmet need compared to 45% who reported having a usual source of care.
Between 1997 and 2006, median wait times increased by 36%, with emergent patients waiting 87% longer to be seen. The percentage of patients seen within the triage target time declined an average of 0.8% per year, particularly for emergent patients.
The American Thoracic Society has issued a statement outlining its positions on research, training, education, patient care, and advocacy. The ATS aims to prioritize altruistic concerns for patients, improve outcome measurement, and advocate for universal access to quality care.
A study found significant regional variations in geographic access to verified burn centers, with the northeast region having the highest and southern states having the lowest access rates. The researchers suggest optimizing air and ground emergency medical service systems for states with low baseline access rates.