Articles tagged with Emergency Medicine
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Research from the University of Surrey found a clear association between high nurse and doctor turnover rates and increased patient mortality rates. A one standard deviation increase in nurse turnover is associated with 35 additional deaths per 100,000 hospital admissions within 30 days.
A new study published in Academic Emergency Medicine finds that low-dose ketamine is an effective adjunct to morphine for managing acute pain, providing relief to both opioid-tolerant and opioid-naive patients. The study demonstrates significant reductions in pain scores for 30 minutes compared to a placebo.
A new study reveals that patients attending first referral hospitals in low- and middle-income countries receive safe and effective surgical care comparable to higher level referral centers. District hospitals manage to deliver safe surgical care despite having fewer full-time surgeons and medically trained anaesthetists.
A new study published in Academic Emergency Medicine evaluates the use of a cranial accelerometry device to detect large-vessel occlusion strokes in prehospital settings. The research demonstrates that obtaining adequate recordings with this device is highly feasible, marking an important step forward in stroke management.
A new study found that pregnant people in Massachusetts who made multiple unscheduled hospital visits during pregnancy were more likely to experience severe maternal morbidity. The study revealed that nearly half of these patients visited multiple hospitals, leading to inconsistent treatment and poor maternal outcomes.
The 2024 Guidelines for First Aid provide critical updates on recognizing and responding to mild, moderate, and life-threatening emergencies. The guidelines offer enhanced guidance on managing opioid overdoses, bleeding, and other conditions, as well as improved recommendations for emergency care involving children.
The World Health Organization calls for a unified response to protect healthcare in conflict settings. Dr Tedros Adhanom Ghebreyesus emphasizes that two-thirds of those dying are women and children, highlighting the need for an end to the war and negotiations between parties.
A new study published in JAMA Network Open found that using Chat GPT Plus does not significantly improve the accuracy of doctors' diagnoses, but it outperformed conventional methods in certain cases. The researchers suggest that physicians need more training and experience with AI to capitalize on its potential.
The updated guidance reaffirms the importance of CPR with breaths for resuscitating individuals who have drowned. It also highlights the need for prevention, recognition, and safe rescue to improve chances of survival. The recommendations are based on evidence-based practices to restore breathing and blood circulation.
A study analyzing data from over half a million adults found lower survival rates for out-of-hospital cardiac arrests in predominantly Black and Hispanic communities, with improvements seen since the pandemic waned but not yet reaching pre-pandemic levels
A study of over 650,000 patients in Ontario found that nearly a third visited emergency departments in the months leading up to their cancer diagnosis. Most visits were related to symptoms specific to their type of cancer.
The International Osteoporosis Foundation's Capture the Fracture campaign highlights top-performing Fracture Liaison Services that deliver gold-standard care. These services prioritize continuous care, tailored treatment plans, and teamwork to reduce secondary fractures and improve patient outcomes.
A new study found that improving pediatric emergency care readiness can prevent up to 2,143 child deaths annually with modest financial investment. The research suggests an annual cost of $3 per child can save approximately 30 lives in Oregon.
Researchers at Children's Hospital of Philadelphia identified disparities in pediatric concussion care, finding that non-Hispanic Black children and those with public insurance are more likely to be seen first for a concussion in the emergency department. This suggests that establishing up-to-date community-level resources could improv...
A recent study published in the Journal of the American Veterinary Medical Association has revealed new insights into treating cats exposed to toxic lilies. The study found no significant difference in acute kidney injury prevalence between inpatient and outpatient groups, suggesting that outpatient management may be a viable option fo...
Miscarriage affects 15-20% of pregnancies, causing devastating effects. Outpatient early pregnancy assessment clinics can provide compassionate and tailored care, but services are lagging.
The number of seizures in US children due to medication or substance exposure has more than doubled between 2009 and 2023. The main culprits are over-the-counter antihistamines, prescription antidepressants, painkillers, and synthetic cannabinoids.
Research finds that increases in air pollution levels correspond with a higher number of patients visiting the hospital emergency department, particularly for cases of trauma, breathing difficulties, and skin conditions. The study suggests that heavy traffic is directly responsible for increased trauma cases and indirectly contributes ...
A new study suggests that many cyclists fail to wear helmets due to perceived inconvenience and discomfort, yet incentivizing them with free helmets, education, and reminders can increase helmet use. The research found that 75% of participants who received incentives wore helmets consistently after one year.
Researchers found that certain factors increased the risk of death after sepsis, including advanced age, dementia, heart disease, cancer, and previous hospitalizations. A total of 50.6% of patients with sepsis died within two years, highlighting the need for closer monitoring and follow-up care.
Researchers found a significant increase in the use of naloxone by people without medical training to treat opioid overdoses. From June 2020 to June 2022, EMS reported 24,990 patients receiving naloxone from an untrained bystander before EMS arrived, representing a 43.5% growth.
Researchers investigate links between environmental exposures, air pollution, and temperature with EMS transports for health emergencies. The study aims to guide decisions on resilient healthcare infrastructure as climate changes.
International experts warn that climate change will have a significant impact on emergency medical services globally, with 62% of respondents saying no assessment or action has been taken. The need for mitigation actions, education, and research is considered crucial in all regions.
Researchers identified three key trauma features - boggy swelling to the head, abdominal bruising, and thigh swelling or deformity - that prompt immediate review and prioritized treatment. The study found children brought in by carers were seen within an average time of 58.5 minutes, highlighting the need for improved triage alerts.
The study found significant disparities in age-specific all-cause mortality across racial and ethnic groups, with the greatest relative increases seen in populations ages 25 to 64. These findings deviated from pre-pandemic patterns, highlighting the need for targeted interventions to address health inequities.
The American Heart Association has committed $4.7 million to strengthen stroke care in Minnesota and $5.05 million in South Dakota through the Mission: Lifeline initiative. This will improve access to timely and effective treatments for stroke patients, especially those in rural areas.
Daily multidisciplinary telemedicine rounds by board-certified intensivists failed to decrease ICU stays for critically ill adults. No significant impact on patient outcomes was observed.
A new study from UCSF has found that ChatGPT overprescribes in emergency care situations, providing unnecessary x-rays and antibiotics. The AI model was less accurate than resident physicians, with a tendency to err on the side of caution. Researchers emphasize the need for better frameworks to evaluate clinical information before AI c...
A new study by Stanford Medicine found that upgrading emergency departments to be more prepared for pediatric care could save children's lives and reduce costs. The research team analyzed data from hundreds of hospitals in 11 states and found that doing so would cut deaths of pediatric emergency patients by almost half.
Brendan G. Carr, MD, MS, receives the Colin C. Rorrie Award for Excellence in Health Policy, recognized for his work on building regional systems for emergency care and advocating for increased collaboration between public and private sectors. Ugo Ezenkwele, MD, MPH, receives the Leon L. Haley Jr. Award for Excellence in Diversity, Inc...
The study analyzes 40 years of avalanche data, showing a significant increase in survival rates from 43.5% to 53.5% and a decrease in rescue time from 45 minutes to 25 minutes.
A new study from the University of South Australia highlights the importance of validating children's pain experiences to prevent chronic pain. Researchers found that by demonstrating acceptance, understanding, and legitimacy, parents and doctors can help children feel heard and believed, leading to better emotional regulation skills a...
The University of Pittsburgh has been awarded a 10-year, $100 million contract from the U.S. Department of Defense to continue its Linking Investigations in Trauma and Emergency Services (LITES) Network. The network will fund new research on trauma care and expand ongoing studies.
A randomized clinical trial found that a voice-activated cognitive behavioral therapy program improved insomnia symptoms in breast cancer survivors. The intervention, delivered in an in-home setting, demonstrated efficacy in reducing sleep disturbances and enhancing overall quality of life.
Researchers found that placing defibrillation pads in the front and back position had a 2.64-fold greater odds of returning spontaneous blood circulation compared to front and side placement. The study suggests this positioning may effectively "sandwich" the heart, delivering electrical current more comprehensively.
The University of Colorado Anschutz Medical Campus has identified key opportunities to strengthen climate education for healthcare professionals. The authors propose a developmental learning model with six interconnected domains that build on foundational skills in communication and collaboration.
Researchers analyzed over 150,000 COVID-19 cases in Japan and found CAPA occurred in 0.4% to 2.7% of severe or critical patients, with higher risk seen in men, older adults, and those with respiratory diseases. Early detection and treatment with antifungal drugs are crucial for improved outcomes.
The study highlights the importance of improving working conditions in A&E departments to retain doctors. Strategies such as education, community building, and mentorship can help reduce turnover rates.
Researchers found that bringing specialists to rural patients through mobile physicians provides faster treatment and better outcomes for stroke cases treated with mechanical thrombectomy. The study's findings suggest that transferring physicians can significantly prolong patient transfer times due to complexity and coordination issues.
A NIH-supported study found that optional emergency department screening increased syphilis diagnosis by 24.4% among nearly 300,000 encounters, particularly among pregnant people. The strategy can help close current healthcare gaps in syphilis diagnosis and treatment.
A clinical trial led by Washington University School of Medicine found that two anti-coagulant drugs did not improve outcomes for patients who received vessel-clearing interventions after a blood clot in the brain. The study aimed to test whether adding these medications could prevent further clots, but results showed no benefit.
A study published in JAMA Network Open found that white patients are more likely to receive related diagnostic testing than Black patients after being discharged from the emergency department. This disparity raises concerns about potential overuse of tests in white patients versus undertesting and missed diagnoses in Black patients.
Researchers successfully put tadpoles into a hibernation-like state using FDA-approved donepezil (DNP), which could be repurposed to save millions of lives every year. The drug induces torpor-like symptoms and can be easily administered, making it a promising tool for emergency situations.
A recent study found that water beads have more than doubled the number of emergency department visits by children in the US from 2021 to 2022. The increase in ED visits is alarming, with over 8,000 cases reported between 2007 and 2022.
A study of nearly 30,000 US caregivers found that comprehensive mental health coverage laws reduced difficulties in accessing care for children. Caregivers from diverse backgrounds faced more challenges, highlighting the need for culturally sensitive services.
A recent study published by Florida Atlantic University found that occasional alcohol use increases the odds of intracranial hemorrhage by double when compared to those who do not drink. Daily alcohol consumption is associated with a 150% increased risk of brain bleeds from falls.
A cross-sectional study of 13,000 pediatric emergency department visits found that school reopening after a COVID-19 disruption was associated with an increase in acute psychiatric emergencies. School stress may be a significant factor in youth mental health, highlighting the need for further investigation into mediating factors.
Research on wind farms reveals their potential to slow tropical cyclone winds and reduce precipitation. Additionally, a study found that people experiencing homelessness are four times more likely to suffer temperature-related illnesses, such as heat stroke, than the general population.
Researchers from Osaka Metropolitan University developed a new scoring model using prehospital resuscitation data to predict neurological outcomes of patients with OHCA. The R-EDByUS score achieved high precision, enabling healthcare providers to make quick and accurate decisions upon hospital arrival.
A new study found significant disparities in stroke services across the US, with hospitals in disadvantaged communities up to 42% less likely to obtain stroke center certification. Hospitals serving affluent communities are more likely to become certified, which improves patient outcomes and access to critical treatment.
A study found that large language models, despite accuracy in medical exams, fail to consistently request necessary examinations and often deviate from treatment guidelines. In comparison to human doctors, AI diagnoses achieved lower accuracy rates, highlighting concerns about their suitability for everyday clinical practice.
A four-year nationwide program improved outpatient health care quality, reducing emergency department visits by 6% for primary care and 4% for specialty care practices. Improved population management, behavioral health integration, and enhanced access were key factors associated with these reductions.
A randomized study found that individuals with cash benefits had significantly reduced emergency department visits and hospital admissions. The study suggests that policies addressing poverty through income support may have a positive impact on health and access to care.
Cyclic vomiting syndrome (CVS) is a disabling condition affecting up to 2% of the population, with most patients experiencing years of diagnostic delays. CVS can be managed through lifestyle modifications and medications, with timely diagnoses crucial to prevent complications.
A Canadian study found that prescribing lower quantities of opioids can help reduce misuse and overdose. The study suggests adapting prescription practices to patients' analgesic needs, with varying quantities based on the type of pain condition.
A longitudinal cohort study found that telehealth availability has declined since the COVID-19 public health emergency ended, affecting mental health treatment facilities. The decline suggests a need for targeted policies to sustain telehealth access and ensure continued support for mental health care.
A new study found that 5% of outpatient patients experience adverse drug events (ADEs), with 22% being preventable. The most frequent drug classes resulting in ADEs were cardiovascular, central nervous system, and anti-infective agents.
A new study has identified significant racial and gender disparities in youth psychiatric emergency department boarding rates, with Black youth being less likely to be admitted to inpatient care. Transgender and nonbinary youth experienced longer boarding times and lower admission rates compared to cisgender females.
Researchers found that patients with sickle cell disease experience significant distress from anticipating and attending emergency departments to manage acute pain flares. The study also revealed stigma and racism in care settings, leading to a lack of control over pain management plans.
A Massachusetts statewide standing order policy led to a 32% increase in emergency contraceptive fills at pharmacies. The policy's impact was largely attributed to increased prescription-only ulipristal fill rates, which more than doubled after the policy was implemented.