Articles tagged with Emergency Medicine
Research at National Jewish Health found asthma control poor among 155 students with asthma, regardless of medical insurance or identified provider. Patients and parents must recognize when management is not optimal to seek help and improve asthma control.
Blast injuries are physically and psychologically devastating, with conservative estimates showing a four-fold increase in events and an eight-fold increase in injuries. The authors emphasize the need for every physician involved in emergency care to understand blast injury patterns and management, highlighting the importance of carefu...
A randomised controlled trial shows ketamine is a safe alternative to etomidate for intubating critically ill patients, reducing adrenal insufficiency risk. The study's results suggest pharmacological knowledge may be crucial for successful emergency intubation.
Researchers at UCSF advocate for a nationwide Primary Care Cooperative Extension Service to support primary care clinicians and address the shortage of physicians. The service would provide infrastructure for practice transformation through local learning communities, information exchange, and cross-fertilization of ideas among practices.
Group Health Cooperative's Patient-Centered Medical Home pilot showed significant success, reducing emergency room visits by 29% and inpatient hospital stays for patients with chronic conditions. The model also improved care team satisfaction and patient experience, leading to long-term cost savings.
A study published in Academic Emergency Medicine found that patients with heart attacks and chest pain are three to five times more likely to experience serious complications when treated in a crowded ER. The authors attribute the increased risk to poorer care coordination, delays in testing, and overburdened doctors and nurses.
A study published in Archives of Internal Medicine found that retail clinics tend to be located in areas with higher median incomes and home ownership rates. In contrast, counties without these clinics have higher uninsured rates and lower socioeconomic status.
The Regenstrief Institute has developed the Indiana Network for Patient Care (INPC), allowing emergency department providers across the state to access patients' medical histories. This technology will provide critical information for best course treatment and help strategize for future events.
Two studies found that injuries inflicted by police officers are relatively rare, with less than one percent requiring hospital admission for related incidents. However, high rates of drug and alcohol use, psychiatric history, and deaths due to firearms were observed among those being restrained.
A study found that eliminating ambulance diversion did not cause significant problems, but rather decreased wait times for admitted patients. The state of Massachusetts has since ended the practice statewide due to the study's results.
A study of over two million injured patients found pregnant women with seat belts had significantly fewer pregnancy-related complications than those without. Women wearing both a seat belt and air bag had the lowest rate of complications.
A new study comparing three different types of aspirin has found that chewable aspirin consistently shows greater and more rapid absorption, potentially leading to improvements in heart attack care. Researchers measured blood levels of aspirin after administering regular and chewed aspirin to volunteers.
Urgent care centers (UCCs) tend to be open outside of office hours and offer a wider range of services than primary care offices. They have significantly expanded hours of operation and provide services like fracture care, suturing lacerations, and x-rays, more commonly associated with emergency departments.
A new technology allows student doctors to practice operations on simulators before trying them out on real patients. Researchers found that simulation training improved success rates for inserting central lines into major veins.
A study found that providing housing and case management to homeless adults with chronic medical illnesses significantly reduces hospitalizations and emergency department visits. The intervention resulted in a 29% reduction in hospitalizations, 24% in hospital days, and 29% in emergency department visits compared to usual care.
A study by Latha Stead found that patients with diagnosed or undiagnosed obstructive sleep apnea had a higher risk of death and poor outcomes after a stroke. The research suggests that regular screening for sleep apnea in emergency department settings could improve patient outcomes.
A survey of new doctors and teaching physicians found significant disagreement on essential medical procedures to learn, with new doctors prioritizing more invasive procedures. The results have led to a revised curriculum at Wake Forest University School of Medicine, enhancing student training and potentially improving patient care.
A study at the University of Washington found that cardiac CT is a cost-effective approach to diagnose low-risk chest pain patients, reducing costs by 44% and shortening hospital stays by up to 20 hours. The new technique uses lower-dose cardiac CT options, allowing for faster evaluation and discharge in under six hours.
A study published in the Journal of Stroke and Cerebrovascular Diseases found that ischemic stroke patients with abnormal heart electrical cycles are at higher risk of death within 90 days. Prolonged QTc intervals, especially above 440ms for women, are associated with the worst prognosis.
A new study by the University of Pennsylvania School of Medicine finds that many Americans face challenges accessing specialized medical care during time-sensitive emergencies. Hospitals in rural areas often lack resources, including staff and equipment, to provide adequate care.
A new study published in Academic Emergency Medicine found that African-American patients wait about an hour longer for hospital beds than patients of other races. The findings suggest that disparities in emergency department length of stay may explain some of the poorer health outcomes seen in black populations.
The Lancet Series on Health in The Occupied Palestinian Territory highlights the urgent health struggle of mothers and children in the OPT. Despite high fertility rates, infant mortality has not decreased since 1990, and interventions require a functioning health system for effective delivery.
Researchers developed a new thoracic ultrasound examination called TFAST to diagnose pneumothorax and other thoracic injuries in dogs. The study found that TFAST proved highly accurate for detecting PTX and other related injuries, with accuracy comparable to human clinical research.
A new University of Pennsylvania School of Medicine study found that two-thirds of psychiatric patients referred for care following an emergency room visit are met with voicemail or long waits. Only 10% of calls resulted in an appointment scheduled within two weeks.
A study found significant confusion among pre-hospital healthcare providers regarding living wills and DNR orders, which can compromise lifesaving care. Implementing clearly defined code status designations within living wills can clarify this confusion and ensure patient safety.
Costantino Iadecola, a neurology scientist at Cornell University, receives the Thomas Willis Award for his pathophysiology research on cerebral ischemic injury. He will deliver a lecture on recent advances in understanding cerebrovascular injury and developing targeted treatments.
A recent survey of over 27,000 EMS professionals found that nearly 83% believe they should participate in disease and injury prevention programs. Many respondents reported already providing such services during emergency calls, particularly those with experience, suggesting a potential expansion of prevention efforts.
A recent study found that fainting was the most common in-flight medical emergency, accounting for 53.5% of cases. The researchers also highlighted the need for standardization in reporting in-flight emergencies, citing poor data quality as a major issue.
A recent survey by Medical College of Wisconsin researchers found that residents in Metro Milwaukee may not be as well-prepared for disasters as the rest of the country. The survey revealed that only 37% of respondents had taken a first-aid course, and 15% had volunteered to help prepare for or respond to a major emergency.
A recent study published by the American Heart Association found that women are more likely to experience delays in emergency medical services (EMS) care for heart-related issues. The study analyzed data from nearly 6,000 men and women and revealed that women had a 52% higher chance of being delayed during EMS care.
A survey of US academic emergency physicians found nearly all believed police use excessive force during arrests and detentions. Doctors frequently treated patients with blunt trauma and handcuff injuries sustained by police officers.
A Massachusetts General Hospital study suggests that US emergency departments are unlikely to meet projected needs with current board-certified emergency physician workforce. The study found that even with idealized projections, it would take over a decade to staff all emergency departments with certified physicians.
The Canadian Medical Association Journal has released a comprehensive stroke supplement featuring 27 best practice recommendations, including four new topics such as emergency medical services care of stroke patients before hospital arrival. The supplement is part of the Canadian Stroke Strategy and aims to improve stroke care in Canada.
A Mayo Clinic study found that most stroke patients do not identify their symptoms correctly, leading to delayed medical attention. The delay can result in further damage and reduced recovery outcomes.
A new survey reveals that more than half of US chronically ill adults skip necessary care due to financial constraints. The study also finds high rates of medical errors, poorly coordinated care, and long waits for primary care physicians.
The Rhode Island Hospital simulation center examines the benefits of advanced medical simulation in five manuscripts, describing its use in training for dynamic, complex medical situations. The articles also discuss the role of simulation in assessing and improving small-scale clinical systems in emergency medicine.
A new study challenges common perceptions about the uninsured and emergency departments, finding that people with insurance are more likely to contribute to ED overcrowding. The research reveals that caring for patients, insured and uninsured, in an ED is more expensive than treating the same complaint in a doctor's office.
A new study suggests that a simple five- or three-part rule can identify which cardiac arrest victims need hospital transportation, allowing EMS crews to use scarce resources wisely. The three-part rule may be sufficient to identify 99.8 percent of those who need to be transported.
A study by RAND Corporation found that retail medical clinics primarily serve patients without a regular healthcare provider, with most visits for acute conditions like upper respiratory infections and sinusitis. The clinics' convenience may outweigh continuity provided by personal physicians, highlighting concerns about quality of care.
The European Society of Cardiology emphasizes the importance of networks in STEMI treatment, facilitating pre-hospital diagnosis, triage, and treatment with efficient transportation to appropriate hospitals. Clear protocols and cooperation among centers reduce delays and improve patient outcomes.
A survey of trauma professionals and the general public reveals differing opinions on end-of-life care following severe injuries. While both groups prefer palliative care, there are disparities in views on patients' rights to demand care and the role of divine intervention.
A Northwestern University study found that more than three-quarters of patients don't fully comprehend their emergency department discharge instructions. Patients who fail to follow instructions may have a higher risk of complications after leaving the hospital, according to lead author Kirsten Engel.
A U-M study found that three-quarters of ER patients leave with a misunderstanding of their diagnosis, treatment, and post-visit instructions. Patients often reported feeling confident despite lacking understanding, highlighting the need for improved communication between ER teams and patients.
Researchers found that patients who disclose intimate partner violence (IPV) to clinicians in primary care or obstetrics/gynecology settings experience the most benefit, with minimal serious harm. In contrast, emergency department disclosures are more problematic for patients, leading to fear and avoidance of healthcare.
A community-wide study found that nearly 28% of pediatric emergency department visits could have been replaced with telemedicine, freeing up resources and reducing costs. Telemedicine also offers personalized care and cost savings for insurers, who may realize $14 per child per year in savings.
A remote monitoring program can improve heart failure patients' condition and reduce hospital readmissions. Patients who participated in the program had lower average hospital readmission rates compared to those receiving usual care.
A UC Davis study found that critically ill children transferred from smaller hospitals are sicker and require more hospitalization days, mechanical ventilation, and medication. The study recommends better coordination with regional medical centers and greater use of telemedicine services.
New research from the Ontario Prehospital Advanced Life Support project shows that advanced life support for trauma patients prior to hospital transport has no survival benefits and may even cause harm. The study found no difference in patient survival rates between those receiving basic and advanced life support.
A report by The Lancet reveals that only 16 of the 68 priority countries are on track to meet the MDG4 and MDG5 targets, with many more experiencing no progress or reversals. Investments in immunization have led to rapid increases in coverage for routine services.
Dr. Criley developed the paramedic model in 1969, training firefighters to provide emergency care to heart attack victims. The program was later adopted nationwide, thanks in part to a TV show about it, and continues to save lives today.
Scientists warn of an impending crisis due to superbugs like Acinetobacter that have become resistant to all available antibiotics, including those thought safe. The bacteria cause severe infections, pneumonia, skin, and wound infections, and even meningitis, leading to significant patient mortality.
Researchers found that calling a doctor's office instead of 9-1-1 can delay patients from reaching the emergency room during the critical three-hour window for acute stroke treatment. Calling an emergency number or ambulance is the quickest way to receive timely treatment and potentially avoid serious post-stroke disability.
A nationwide collaborative study found that emergency department patients who underwent alcohol screening and brief intervention reported lower rates of risky drinking than those who received only written information. The study enrolled over 7,751 patients and showed that more than one-fourth exceeded low-risk drinking limits.
A recent survey found that two out of 18 northwest England hospitals lacked a written chemical emergency plan and three A&E departments had no staff trained in chemical decontamination. The study highlights major gaps in preparedness for chemical incidents, calling for national guidelines to be set and enforced.
A home-based geriatric care program for low-income seniors resulted in higher-quality medical care, improvement in quality of life, and fewer emergency department visits. However, the intervention did not prevent decline in physical functioning. The program improved health outcomes without increasing hospital admissions.
A randomized clinical trial found GRACE's success in improving quality of care, health-related quality of life measures, while reducing emergency department use and hospital admissions. The program involves a support team meeting with patients at home to conduct comprehensive assessments and develop individualized care plans.
A recent survey by LA BioMed researchers found that only 6% of emergency rooms in the US have all the necessary equipment and medicine for treating children. The majority of pediatric visits occur in non-child-friendly hospitals or rural facilities, highlighting a need for improvement in pediatric preparedness.
Patients report feeling uncertain about out-of-hours primary care services, with concerns over appropriateness and responsiveness. Staffing issues and slow handling times are also cited as key problems, highlighting the need for better patient experience monitoring.
A population-based study found that having a primary physician and high continuity of care lowered emergency department use among elderly patients. Additionally, rural residence, low socioeconomic status, and higher physician-to-population ratio were associated with increased emergency department use.
A North Carolina team of doctors and nurses has created a model to provide faster treatment for heart attack patients. The RACE project uses caregivers from 65 hospitals and emergency medical teams throughout the state to diagnose and treat heart attacks more quickly, with median times improving by 22%.