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 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.
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 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.
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.
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.
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 New York City woman was poisoned after ingesting a herbal product believed to be contaminated with digitalis lanata, a plant-derived cardioactive steroid. She recovered after receiving antidotal therapy and digoxin-specific Fab fragments.
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.
Researchers found payment rates for emergency department charges decreased from 60% to 53% between 1996 and 1998. The privately insured group experienced the largest decline, with payments dropping from 75% to 63% of charges.
A new study provides validated guidelines for emergency physicians to care for chest-pain patients using cocaine, improving treatment outcomes and reducing complications. The protocol divides patients into high-risk and low-risk categories, allowing doctors to determine which patients can be safely discharged home.
A study found that 42% of emergency patients waited more than 60 minutes for care, with longer waits in poorer neighborhoods. Emergency departments with better staffing ratios had shorter waiting times, suggesting physician and nurse staffing as a solution to reduce wait times.
A recent study examined three independent databases to develop a comprehensive picture of the occupational hazards faced by EMS workers. The findings reveal that EMS personnel are exposed to various risks, including ambulance crashes, assaults, and exposure to infectious diseases.
The study found that drug shortages affecting patients in emergency departments have grown significantly since 1995. Emergency physicians can help manage these shortages by communicating with hospitals and patients about available options, but solving the issue will take many years.
A study of 75 patients found that postponing care for those with non-serious illnesses had comparable health outcomes to immediate care. Additionally, a new combination therapy for arthritis patients showed promise in reducing joint symptoms and improving function.
A study by Oregon Health & Science University found that computer prescriptions significantly reduced errors in the prescribing process. The system improved legibility and accuracy, resulting in a 0.8% error rate compared to 2.3%, saving time for pharmacists and improving patient safety.
A ESMO survey found that almost all oncologists (92%) believe dying patients should receive anti-tumor therapy alongside end-of-life care. However, less than half routinely coordinate patient care or collaborate with support teams.
A University of Pittsburgh study found a marker for blood clots in patients experiencing cardiac arrest outside the hospital. The researchers identified increased clotting in veins, which worsens with longer cardiac arrest duration.
Researchers from the University of Pittsburgh found that shocking the heart after prolonged cardiac arrest can cause further damage, highlighting the need for alternative treatment options. The study suggests that waiting a few minutes before defibrillation may be a more effective approach.
A JAMA study found that pharmacist interventions significantly improved peak flow rates for patients with asthma, but not those who received standard care. The study also showed a notable decrease in breathing-related emergency department or hospital visits among the intervention group.
A recent study found that the federal government's E/M coding system for Medicare has poor agreement among coding specialists, resulting in overbilling. The system's complexity and lack of precision lead to inconsistent coding practices.
Researchers found no difference in cosmetic appearance between sutured and non-sutured hand cuts after three months. Patients treated conservatively reported less pain and shorter treatment times compared to those who received sutures.
A national survey found that most adults are unaware of the effectiveness of policies like raising taxes on alcoholic beverages and increasing the drinking age. Effective measures have saved tens of thousands of lives, but public awareness is needed to prevent accidents.
Leaders in emergency medicine will read the same articles to share a common knowledge and background, with annual self-assessment tests to prove mastery of medical literature. The requirement aims to improve patient safety and physician accountability, as mandated by the American Board of Medical Specialties.
The American College of Emergency Physicians has issued first consensus guidelines on lightning safety before summer storms. These guidelines emphasize the importance of individual responsibility in avoiding lightning injury and provide tips on safer practices, including knowing safe locations and following weather updates.
Researchers found that while Medicaid kids use the ER for non-urgent care more frequently than expected, a shift to managed care has actually reduced these instances. The studies also revealed that nearly half of parents' decisions to visit the ER were logical, based on their child's condition and available resources.
Two new studies introduce a reliable assay to detect brown recluse spider venom in patients, reducing the need for invasive biopsies. The assay detects venom in hair, fluid from wounds, and skin biopsies, improving diagnosis accuracy and avoiding misidentifications.
Bats are the leading cause of human rabies in the US, with tiny bites going unnoticed. The study found it unlikely for bat rabies to be transmitted through the air or from an infected animal like a cat or dog. Dr. Gibbons advises seeking emergency care if direct contact occurs.
A study published in JAMA found that restorative home care significantly improves the likelihood of remaining at home, reduces emergency visits, and enhances self-care and mobility among older patients. The model is based on principles adapted from geriatric medicine, nursing, rehabilitation, and goal attainment.
Intrah, a partner of the $35 million Maram project, is responding effectively to severe health-care challenges in the West Bank and Gaza. The organization is focusing on emergency obstetric care, medical equipment aid, and distance learning programs to support frontline care providers.
A study by the American College of Emergency Physicians finds that emergency department visits increased 27% from 1990-1999, with critically ill visits rising 59% and urgent visits increasing 36%. The number of beds per population also decreased, exacerbating the problem.
The article explores the challenges of managing emergency department overcrowding and the legal duty to provide care. It discusses the complexities of weighing patient diversion against accepting critically ill patients, raising questions about liability and hospital responsibilities.
Researchers tested BNP levels in 325 patients with dyspnea, finding those with high levels had a 51% chance of developing congestive heart failure or dying within six months. The study supports the use of BNP testing as a tool for diagnosing patients at risk of congestive heart failure.
The risk of injury requiring medical attention on amusement park rides is one in 124,000, while the risk of fatal injury is one in 150 million. Giant roller coasters produce high G forces that can cause neurologic injury.
Researchers found that preauthorization was granted in only half of visits, and denied or downcoded in the remaining 50%. The lack of timely reimbursement creates a financial burden on patients and hospitals. Prudent layperson laws aim to eliminate prior authorization and retrospective denials for emergency care.
Undertreated asthma has a significant impact on women's lives, affecting their physical activities, relationships, and overall well-being. Many women report poorly controlled symptoms, anxiety, and worry about their condition.
The Johns Hopkins emergency department has implemented an acute care unit to reduce overcrowding, resulting in a 40% decrease in ambulance diversion hours. The unit has also seen a significant drop in patient walkouts during the midnight shift, from 20.6% to 8.9%.
Researchers developed a simple risk index using age, heart rate, and systolic blood pressure to predict mortality risk in STEMI patients. The index revealed a strong and independent predictor of mortality risk, with a 20-fold gradient of increasing mortality.
Researchers found that treating patients in the Emergency Department with Early Goal Directed Therapy (EGDT) improves patient outcomes. Patients treated with EGDT had a lower mortality rate, fewer organ failures, and shorter hospital stays compared to those receiving standard care.
A study found that managed care coverage improves the quality of care for children with asthma, reducing the likelihood of unnecessary emergency department visits. Children in managed care plans were more likely to see their primary care physicians before visiting the ER, leading to more appropriate treatment.
A recent audit reveals major deficiencies in funding, staff, and service provision for head injured patients. Rehabilitation and follow-up services are poor, with only a third of A&E departments involved in recommended care.
A population-based study found that the annual rate of potential brain injury was 16 per 10,000 among males and 7 per 10,000 among females. The leading causes of brain injury varied by age, with falls from heights being common among young children and accidents involving motor vehicles or bicycles being common among older teenagers.
Two UK studies reveal that NHS Direct led to a significant decrease in Accident and Emergency department visits, with a substantial reduction in staff time needed. However, the rise in hospital switchboard calls indicates that more people need medical advice, highlighting the need for increased NHS Direct usage.
Defibrillator availability for home use could save thousands of lives, says Dr. Mickey Eisenberg. Despite high costs, he suggests AEDs could become more affordable and accessible with proper labeling and training.
The State Children's Health Insurance Program (SCHIP) needs a broader scope and clearer goals to truly benefit children and families. States should focus on quality of care, including regular physician visits and preventive services, as well as plan ahead for primary care services and evaluate program effectiveness.
Establishing stroke centers in hospitals can significantly improve outcomes for stroke patients by dedicating resources to diagnose and treat stroke patients within the critical 3-hour time period. The Brain Attack Coalition recommends primary and comprehensive stroke centers to provide emergency care and extensive care, respectively.
Researchers at St. Paul's Hospital in Vancouver developed a care plan to address patients who frequently visit emergency departments with conditions treatable in community settings. The program involved social workers, physicians, and nurses, reducing hospital visits by 71%.
A study by Harvard Medical School found that elderly patients with acute myocardial infarction (AMI) covered by non-profit health maintenance organizations (HMOs) received higher use of lifesaving therapy and emergency transportation compared to those with fee-for-service insurance. HMOs improved access to timely urgent care, particula...