Articles tagged with Emergency Medicine
Rochester researchers emphasize the need for more accurate and rapid diagnostic tests for concussions to improve treatment outcomes and prevent long-term neurological damage. Current CT scans are often biased, leading to underdiagnosis of significant axonal injuries.
A new study found that using a combination of sedative and paralytic drugs improves the success rate of airway intubation by 3.7 times, making it the most effective method for patients in critical condition. The research used data from 49 patients transported by air ambulance over a year.
A proposal has been developed by Drs. John L. Hick and Daniel T. O'Laughlin to set guidelines for triage of mechanical ventilators in a pandemic or bioterrorist attack. The guidelines aim to ensure equal allocation of scarce resources to patients most likely to benefit from them, promoting distributive justice.
A new set of guidelines aims to help care for children during emergencies, with a focus on simplifying treatment protocols and addressing special needs. The guidelines will be based on existing clinical protocols and are designed to be accessible to community health workers and volunteers.
Florida emergency physician groups provide substantial uncompensated care, ranging from 26 to 79 percent. The study suggests that the increasing number of uninsured patients is a significant contributor to this trend.
A year-long randomized trial involving 32 emergency departments in Connecticut and southwestern Pennsylvania showed that moderate- and high-intensity quality improvement strategies safely increased outpatient treatment for low-risk patients. The study also found effective implementation of guideline recommendations among practitioners.
A new study by the University at Buffalo, Yale University, and Oregon Health and Science University found that hospital-level care can be provided at home for less money and with fewer clinical complications. The program, called Hospital at Home, resulted in fewer important clinical complications, greater satisfaction, and lower total ...
A new study found that telephone-based care management significantly improves symptoms of anxiety and depression, as well as mental health-related quality of life. The intervention resulted in fewer missed workdays and lower emergency room usage among participants.
A study found that lifetime illegal drug use accounts for nearly a third of patients visiting an inner city hospital emergency department. Recently used drugs significantly increase the risk of requiring emergency care, with possible 1 million ED attendances and 40,000 acute admissions annually in England.
A study analyzing emergency department visits by young people aged 7-24 years found that nearly half (56.1%) received a mental disorder diagnosis, with depressive disorders strongly associated with inpatient admission. The findings highlight substantial underrecognition of mental illness and inadequate referral for follow-up care.
The study reveals a significant increase in emergency care attendances, particularly among elderly patients and those arriving by emergency ambulance. Average waiting times doubled, and treatment times increased, despite staffing increases, suggesting pressure on emergency services.
Researchers found that reported insurance status significantly influences access to follow-up appointments for urgent ambulatory care. Privately insured patients were more likely to receive appointments within a week compared to those with Medicaid or no insurance, suggesting a barrier to timely care.
A wire injury from jumping on a bed can be more than just a minor knock on the noggin, according to Dr. Dante Pappano. He published a case study in Pediatric Emergency Care journal after discovering that a mattress wire snapped inside a Rochester boy's foot, leading to a serious injury.
A study found that 69% of meta-analyses in critical care had flaws, leading to concerns about the reliability of medical research. The most common issues were failure to report comprehensive literature searches and methods for avoiding bias.
A new UCLA study highlights the importance of using CT scans to evaluate cervical spine injuries, finding that x-rays fail to detect secondary injuries in 36% of cases. The researchers recommend that all patients with cervical spine injuries undergo CT imaging to identify missed injuries and non-contiguous injuries.
A new review of the American College of Cardiology and American Heart Association guidelines aims to streamline diagnosis and treatment of acute coronary events. The goal is to provide faster treatment that may even prevent a heart attack or damage to the heart before it happens, benefiting millions of patients each year.
A nationwide study found that immigrants spend half as much on healthcare as native-born Americans, with many receiving lower levels of care. Immigrant children receive significantly less care in doctors' offices and emergency rooms compared to U.S.-born children.
A recent study from the University of Pittsburgh highlights the challenges faced by paramedics in performing endotracheal intubation, a critical procedure that requires significant skill and experience. The research found that many paramedics perform intubations less than three times per year, with some not performing any at all.
A new study reveals that emergency physicians' fear of lawsuits fuels defensive medicine, resulting in unnecessary hospital admissions and increased healthcare costs. The research found that high-fear physicians are more likely to admit low-risk patients and order excessive tests.
The study provides guidance on managing severely injured patients in emergency situations, including the importance of close follow-up, a 'chain of command' team, and preparedness for staff recruitment. The authors also offer recommendations for treating common injuries caused by bomb blasts, such as brain, lung, and orthopaedic injuries.
A study published in Pediatrics recommends new guidelines for air bag safety in children. The research found that children under 14 are at high risk of serious injury from air bags when sitting in the front passenger seat, while older children benefit from air bag protection.
A study found that ICU staff reported only 61% of errors detected by external observers, indicating a significant underreporting of unintended events. The use of observer monitoring can provide invaluable information about incidents in ICUs in a short period, improving quality and safety.
A study found that junior doctors in emergency medicine faced difficulties with referrals due to assumptions of inferiority by specialty doctors. Implementing formal teaching, clear guidelines, and role-playing improved outcomes and reduced communication issues.
A study published in Health Services Research found that patients with head injuries transferred from rural trauma centers to Level I trauma centers in Oregon and Washington had a 10% lower mortality risk. This improvement is attributed to the comprehensive care and training programs available at Level I centers.
Research analyzed emergency medical treatment for assaults during international rugby and football matches in Cardiff. The results showed a significant increase in assault cases on match days, with the highest rates observed when Wales won its matches.
Regular cardiovascular follow-up visits with a specialist significantly improve outcomes for heart failure patients, reducing emergency room visits and mortality rates. Access to specialty care is particularly important for elderly and rural patients, who often face barriers to timely treatment.
A two-hour brief negotiation intervention was developed and taught to 58 emergency room physicians, with over 90% passing the proficiency exam. The intervention helps hazardous and harmful drinkers by raising awareness of their drinking levels, enhancing motivation to reduce drinking, and negotiating a plan of action.
Researchers found a psychiatric rate of 5.27% among emergency department patients, significantly lower than national prevalence rates. The study identified significant disparities in psychiatric diagnoses between Caucasians and African Americans.
A comprehensive review of UK asthma frequency and health service use found that south Asian people had lower asthma symptoms, while black people had similar symptoms. South Asians were three times more likely, and blacks twice as likely, to have emergency hospital admissions for the condition.
A new study analyzed surveys from 2,515 asthmatic patients to identify reliable quality indicators for physician profiling. The researchers found that having a sufficient number of patients and using clear-cut indicators like asthma self-management knowledge and use of inhaled steroids can help determine the best doctor for patients.
Emergency department patients with unmet substance abuse treatment needs are 81% more likely to be admitted during their visit and 46% more likely to have visited the ER in the previous year. These patients account for $777.2 million in extra hospital charges annually.
Long waits for inpatient beds in emergency departments can lead to significant revenue loss, as delayed care blocks beds that could treat incoming patients. The study found hospitals may lose up to $168,000 in potential revenue per admitted chest pain patient wait, with the annual loss potentially exceeding $1.74 million.
Out-of-hospital intubation may be more harmful than helpful for patients with severe head injuries. Patients who are intubated prior to hospital arrival have a higher risk of death and neurologic impairment compared to those intubated in the hospital.
The ERICCA project aims to integrate electronic health records to improve asthma care for children. The system will facilitate communication among care providers, allow inter-disciplinary care planning, and provide clinical decision support.
A study in Kenya found that pediatric admission rates varied significantly among hospitals, with basic resources available in only 12 of 14 first-referral level hospitals. Strengthening district hospital infrastructure is crucial for achieving the Millennium Development Goal for child survival.
A study found that fourth-year medical students can identify victims of intimate partner violence, but often neglect to ask crucial questions about the patient's safety and well-being. The findings highlight the need for improved education on domestic violence screening in emergency medicine clerkships.
Researchers will test the effectiveness of a mechanical chest compression device to treat out-of-hospital sudden cardiac arrest. The study aims to improve survival rates, which have remained stagnant for 30 years, and has the potential to benefit millions.
Prudent-layperson laws have reduced emergency department denials based on symptoms, rather than diagnoses. Insurers are now more likely to cover treatments, and fines for non-compliance have increased industry-wide changes in ED claims management.
A commentary by Pauls and Downie argues that mandatory reporting could erode trust between patients and physicians. Ovens, writing on behalf of the OMA's Section on Emergency Medicine, counters that exceptions exist to protect patient confidentiality while maintaining public safety.
A national study found that health care access for poor children has improved, with a decrease in emergency room visits and hospitalizations. However, the gap in care for uninsured children remains, with those without coverage experiencing worsening access to care.
Researchers developed a new screening tool to identify adolescents at risk of carrying firearms in emergency departments. The tool, FiGHTS, uses known risk factors and has shown promising results in preventing firearm injuries among this age group.
A recent case report reveals that MDMA can trigger heart attacks, with symptoms similar to those caused by cocaine or amphetamine use. Physicians are advised to familiarize themselves with the emerging trend of MDMA use and its potential risks.
A study analyzing data from over 56,000 U.S. patients found that almost two out of three received glycoprotein IIb/IIIa inhibitors within the first 24 hours, resulting in a 2.7% in-hospital death rate compared to 4.7%. The researchers emphasized the importance of aggressive treatment protocols and adherence to established guidelines.
Researchers studied 342,300 chronically ill veterans to track health care and survival between 1994-1998. Patient survival rates remained largely unchanged, while hospital stays fell by 50% and outpatient care increased moderately.
The American Academy of Physician Assistants (AAPA) survey shows physician assistants are steadily expanding into various medical settings. The latest findings demonstrate a growing trend of PAs working in primary care fields and specialized medical offices.
A three-year community campaign aimed at the public and health professionals increased the use of tPA, a life-saving emergency drug for stroke patients. The study found that 69% of eligible patients received tPA, compared to 2.2% in non-intervention areas.
The study found that uninsured patients and Medicaid recipients account for a significant proportion of emergency department visits due to tooth pain or injury. Despite receiving antibiotics or pain medication, these patients often lack follow-up dental care.
A recent study by the American College of Emergency Physicians found no significant racial differences in the administration of pain medications to children, but did reveal regional variations. Children in the South and West received narcotics more frequently than those in other parts of the country.
Researchers developed a guideline to identify low-risk heart failure patients for targeted home treatment, reducing unnecessary hospital stays. The study used data from over 33,000 cases and identified nearly 16% of patients as low risk, promising success in similar contexts.
Researchers found that cooling the brain to 33 degrees Celsius increased survival rates and reduced microscopic brain injury by half. Hypothermia treatment also stimulated brain recovery by increasing growth factors derived from glia-cells in the brain.
A study found that over half of illicitly distilled moonshine samples contained high levels of lead, a toxic substance that can harm those who abuse it. The researcher hopes to raise awareness about the dangers of drinking moonshine.
A study published in the American Journal of Public Health found that minorities in low-poverty areas are more likely to use public mental health services, often due to being more visible and attention-worthy. This disparity affects black and Hispanic residents, who are disproportionately represented in high-poverty neighborhoods.
Researchers created a set of tools to evaluate disaster drills in four parts: command and control, out-of-hospital care, in-hospital care, and system integration. The methods are designed to be practical for disaster planners worldwide, particularly in developing countries disproportionately affected by disasters.
A recent study conducted at Cincinnati Children's Hospital Medical Center found that approximately one in five mothers who visited the pediatric emergency department or a well-child clinic had depression. The study also revealed that 76% of these mothers reported difficulty caring for their children due to their depressive symptoms.
A new study from Michigan Medicine found that alcohol increases a person's vulnerability to injury in car crashes, regardless of blood-alcohol level. Drivers and passengers with any amount of alcohol in their system were more than one and a half times as likely to experience serious injuries, which severity was also 30% higher.
A UC Irvine study found that hospitals can successfully evacuate patients and staff without relying on outside assistance. Non-structural problems like water leaks and electrical outages pose the biggest risk to facilities during disasters. The study provides basic steps for responding to bioterrorist attacks on medical facilities.
A study published in the Journal of Allergy and Clinical Immunology found that allergy specialist care can significantly reduce emergency room visits for asthma. Patients receiving adequate inhaled corticosteroid therapy (at least four canisters per year) and/or allergy specialty care had a lower risk of hospitalization, with 27% showi...
A study by University of Toronto researchers found that walk-in patients with minor illnesses have a minimal impact on emergency department overcrowding. The study's authors suggest increasing hospital capacity to quickly assess and admit acutely ill patients is key to solving the issue.
Researchers have rediscovered a World War II era antidote for Lewisite, a chemical warfare agent that causes immediate pain and blistering. The treatment, BAL, can remove heavy metals such as arsenic, copper, and lead from the human body.
A study by American College of Emergency Physicians found that only half of emergency department visits are paid, with payments decreasing from 60.3% to 53% between 1996 and 1998. The decline threatens the ability of emergency departments to provide care to all patients regardless of ability to pay.