Articles tagged with Emergency Medicine
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A study found that ER visits for suicidal thoughts among youth aged 5-19 increased by 59% from 2016-2017 to 2019-2021, with hospitalizations rising by 57%. The research highlights the need for improved mental wellness support and training for healthcare providers.
This cross-sectional study investigated emergency department clinicians' concerns about medical errors resulting in either patient harm or malpractice litigation. The findings highlight the emotional toll of these errors on clinicians, including feelings of guilt, anxiety, and burnout.
A 5-year follow-up study found patients who received a patient activation training had more primary care use and fewer substance-related emergency department visits. The intervention taught patients to connect with their primary care team, manage their health holistically, and overcome stigma associated with addiction treatment.
The study aims to assess the effectiveness of recombinant Factor VIIa (rFVIIa) in decreasing bleeding in the brain of patients with intracerebral hemorrhage (ICH). ICH is a deadly stroke type with no effective treatment, and this trial seeks to improve outcomes.
A new study presented at the American College of Allergy, Asthma, and Immunology Annual Scientific Meeting found that most infants with anaphylaxis were treated appropriately with a single dose of epinephrine. The study reviewed charts for 169 patients under 2 years old who presented with anaphylaxis symptoms in various systems.
Researchers found that patients who received automated text messages from their primary care team after discharge had a significant decrease in hospital readmission (55%) and emergency care use (41%) compared to those who did not receive the texts. This study adds to evidence that connecting with patients through text messaging can hel...
The University of Tsukuba researchers developed a machine-learning model to predict undertriage in phone-based triage systems. The model identified risk factors such as age, sex, and comorbid conditions, which can be used to update protocols and improve patient outcomes.
A new study from Penn State found that crowded emergency departments are associated with higher mortality rates throughout the hospital. On days when an emergency department is crowded, patients are 5.4% more likely to die of any cause, regardless of their admission status.
Research highlights the significant role emergency departments play in end-of-life care, with nearly one-third of decedents visiting the ED just before death. The study's findings emphasize the need for emergency medicine practitioners to identify patients in need of end-of-life care and provide necessary resources.
Researchers found that structural racism and insurance barriers limit access to advanced epilepsy care for minority groups in New Jersey. Black patients with private insurance and Medicaid had the lowest EMU admission rates relative to emergency room visits.
The $2.4 million grant will provide direct training for new community health workers in Lubbock and throughout the state through registered apprenticeship programs and job placements. The program aims to increase access to healthcare and address public health needs for underserved communities.
Research found a hospital code response team arrives at least one minute quicker and leads to better patient outcomes with smartphone emergency code notification systems. The study used a secure texting system that connected with electronic medical records, reducing conventional methods' average delay of 78 seconds.
The American Heart Association is launching a two-year initiative to expand and enhance post-acute stroke care across Montana, Nebraska, and North Dakota. The project aims to maximize recovery of function lost during a stroke, reduce risk of secondary effects, and extend high-quality guideline-directed care for all patients.
Research from UCLA Health Sciences found that telehealth consultations following an emergency department visit were associated with 28 more repeat ED encounters and nearly 11 more return hospital admissions per 1000 patients. The findings highlight the need for careful consideration of when to use telemedicine for post-ED follow-ups.
The University of Missouri is revamping its training courses for childcare providers with a $7.5 million grant from the Department of Elementary and Secondary Education. The new online video-based courses aim to be more accessible and engaging, covering topics such as safe sleep, transportation, and emergency preparedness.
A new study suggests that emergency departments saw 15 times more sexual assault-related visits in the past decade, with total hospital charges reaching $233 million in 2019. The study highlights disparities in health needs and admissions, with patients from lower incomes and government insurance plans being disproportionately admitted...
A study published at the European Emergency Medicine Congress found that a digital technology platform called HealthCall can reduce emergency department attendances for residents in care homes. The system provides staff with easy access to clinical advice and has been shown to result in a 10% reduction in expected monthly attendances.
Researchers found that patients awaiting surgery experienced decreased pain and improved relaxation when given a music pillow to listen to during their wait. The study, which included over 30 participants, demonstrated a positive association between music and reduced anxiety in emergency department patients.
A systematic review and meta-analysis found that pulse oximetry has a high false negative rate, making it inaccurate for triaging patients with suspected carbon monoxide poisoning. The researchers recommend developing alternative methods for rapid screening of carbon monoxide levels in capillaries.
Only half of European hospitals have a policy in place to identify children who are being neglected or abused. Hospitals with such policies use effective strategies like screening tools and staff training. However, many staff lack the necessary tools and knowledge to spot maltreated children.
A recent study published in Wilderness & Environmental Medicine reveals a significant gender gap in leadership roles and publishing opportunities within the WMS and its journal. The findings show that women comprise only 10% of board presidents, 18% of recognition awards, and 20% of mainstage presenters.
A study of over 100,000 emergency room visits and 95,000 mental health hospitalizations found that less than half received follow-up care within 30 days. Having established primary care and mental health care before an acute psychiatric service use is crucial for improving follow-up rates.
Two studies reveal rising emergency department wait times and patient abandonment due to overcrowding, with 5% of hospitals experiencing over 10% patient abandonment and median boarding times reaching 3.4 hours nationally.
Between 2011-2020, e-scooter injuries in children increased, with over 10% of patients sustaining head injuries, including concussions, skull fractures, and internal bleeding. Hospital admittance for e-scooter injuries rose from 4.2% to 12.9%, highlighting the need for helmet safety.
A new CAPSTONE study aims to identify inflammatory biomarkers associated with positive and poor outcomes in patients after intracerebral hemorrhage (ICH) strokes. By analyzing patient blood and plasma samples, researchers hope to develop targeted treatments to prevent long-term brain degeneration.
Researchers found elevated traumatic brain injury biomarkers in football players in skill positions, including quarterbacks, wide receivers, and defensive backs. The study suggests that head impact magnitude, not frequency, causes the greatest elevations in TBI biomarkers.
A new study published in JAMA Network Open found that the Emergency Critical Care Center within an emergency department improved patient survival rates without increasing costs. The ED-ICU model reduced total direct cost per encounter by 22.1% for critically ill patients, likely due to early, coordinated critical care.
A recent study found that telemental health can be effective in reducing treatment gaps and improving access to mental health care, especially for marginalized groups. However, it is crucial to consider individual preferences, circumstances, and technological access when implementing this approach.
Researchers surveyed FAU residents on perceptions, coping strategies, and mental health during the pandemic. Residents reported effective coping mechanisms like acceptance, self-distraction, and emotional support, but found depression and anxiety levels in normal ranges.
A small qualitative study found that emergency departments often fail to provide dignified and respectful care to frail older patients, leading to long waits and poor communication. The researchers recommend making healthcare settings more 'frailty friendly' by prioritizing patient comfort and involvement.
A new study published in Pediatrics has found that children living in neighborhoods with greater hardships are more likely to use emergency departments. The study used the Pediatric Health Information Systems database and found a positive association between neighborhood Child Opportunity Index (COI) scores and ED visits, indicating th...
A multidisciplinary effort to improve care for older patients with hip fractures has led to expedited surgery, shorter hospital stays, and better follow-up care at UT Southwestern Medical Center. The program, launched in 2021, prioritizes early pain management and standardized care protocols.
A study published in The Lancet reveals that AI-based risk profiling can improve treatment outcomes for women with heart attacks. By accounting for sex-related differences, the novel score refines current risk models and reduces mortality rates among female patients.
The study found that the probability of surviving cardiac arrest outside hospital has more than doubled in 30 years, from approximately 5% to 11%. The improvement is attributed to increased CPR training and better healthcare resources. However, ambulance delays and an increase in difficult-to-treat cases are hindering further progress.
Researchers developed a blood test that predicts poor outcomes in patients with traumatic brain injury (TBI), allowing clinicians to make decisions earlier on possible treatment. The test, which measures protein biomarkers GFAP and UCH-L1, showed high accuracy in predicting death and severe disability six months after injury.
A team of researchers from Osaka University developed an AI algorithm to predict the risk of mortality for trauma patients. They analyzed a large dataset of patient information and blood markers to identify critical factors that guide treatment strategies more precisely.
The August issue of the CHEST journal features 47 articles on clinically relevant topics such as asthma, COPD, and pulmonary vascular disease. A highlighted article examines barriers to palliative care in interstitial lung disease.
A recent study by Massachusetts General Hospital found that urgent care centers can divert imaging tests away from emergency departments after spinal trauma, resulting in cost savings. The study analyzed data from May 2021 to August 2021 and estimated annual savings of $437,928.
Researchers developed a blood test tool that predicts patient outcomes after traumatic brain injury (TBI), with 87% accuracy for predicting death and 86% for predicting severe disability. The tests are diagnostic and prognostic, easy to administer, swift, and inexpensive.
The Pfizer/BioNTech COVID-19 vaccine demonstrated high levels of protection against emergency department and urgent care encounters related to Delta and Omicron variants. A third dose improved protection against Omicron beyond initial two-dose efficacy, emphasizing the importance of boosters for adolescents aged 12-17.
A study from the University of Warwick found that 69.3% of OHCA's in the West Midlands occurred within 500 meters of a school, equivalent to a five-minute walk. The research suggests that increasing accessibility and availability of defibrillators could lead to improved survival rates.
Researchers found that individuals staying in hotels received significantly reduced acute care services, including emergency visits and hospitalizations. The study suggests that these programs can have a positive impact beyond just reducing COVID-19 cases among vulnerable populations.
Researchers developed an AI-driven device that detects and predicts hemodynamic instability using a single ECG lead, outperforming traditional vital sign measurements with nearly 97% sensitivity. The technology has the potential to provide continuous dynamic monitoring capabilities in patients with intermittent static vital sign measur...
The study provides guidelines for healthcare facilities to respond effectively to mass shooting incidents. The clinicians identified the importance of modified triage plans, prioritizing patients based on anatomical considerations, and clear communication with emergency responders. By implementing these strategies, hospitals can better...
A phone call two days after discharge significantly reduces the likelihood of patients returning to the emergency room. The study found that nearly 4,000 patients who received an automated telephone call had lower return rates compared to those without calls.
The 2016 CDC guideline aimed to reduce opioid-related overdose deaths by encouraging clinicians to weigh the benefits and risks of prescribing opioids. Researchers found a significant increase in nonopioid pain medication prescribing rates, coinciding with a drop in opioid prescribing.
A study of 3069 ICU patients found racial and ethnic disparities in oxygen supplementation, with Asian, Black, and Hispanic patients receiving less oxygen than white patients. Pulse oximeter performance may be contributing factor to these disparities.
A study of 56,000 older adults found that health-related social needs were associated with significantly higher rates of acute care utilization. Unreliable transportation was particularly linked to hospital stays and emergency department visits.
Outpatient antibiotic management of selected patients with appendicitis is safe, allowing many to avoid surgery and hospitalization. This treatment approach is associated with fewer serious adverse effects compared to hospitalization.
Establishing complete trauma care programs accessible to all road injury victims could save 200,000 lives annually, according to a study. Clinical interventions such as early resuscitation and interventional radiology are the most effective measures to reduce deaths related to road traffic injuries.
The MedSENS instrument measures body temperature, heart rate, and oxygen saturation from the ear canal using innovative sensors. It has been tested in harsh environments and proven to be easy to use, with its data transmitted wirelessly to other devices.
Pediatric mental health ED visits increased by 27% during COVID-19 pandemic, mainly for suicide and self-injury, with higher admission rates for severe cases
Residents in predominantly Black communities are more likely to live near a hospital with a certified stroke center but face lower chances of receiving optimal treatment. The study also reveals significant disparities in access to stroke centers based on income and geographic location.
A new study published in BMJ Open Respiratory Research found that cannabis users are 22% more likely to visit the emergency department or be hospitalized compared to non-users. Serious physical injury and respiratory-reasons were the leading causes of ED visits and hospitalizations among cannabis users.
Research finds that cannabis users have a significantly higher risk of emergency room visits and hospital admissions for any cause. However, the study did not find a significant link between cannabis use and respiratory health issues. The authors conclude that further research is needed to confirm their findings.
A new study published in PNAS found that physicians prescribe less pain medication during night shifts than during the day. Researchers attribute this discrepancy to reduced empathy among doctors on night shifts. The study analyzed data from 13,482 discharge letters and found a significant bias towards prescribing fewer painkillers at ...
A new study found that while timely heart attack treatment has improved over time, disparities persist among female patients and patients from underrepresented racial groups. The study analyzed data from over 450,000 California hospital records between 2005 and 2015.
A new study reveals that police involvement in student mental health transfers at Ontario universities differs significantly, with some universities using handcuffs routinely and others reserving them for rare circumstances. The study recommends engaging police only in high-risk situations to minimize restraints during transfers.
Encounter rates for physical abuse in children decreased by 19% during the pandemic, but reasons are unclear. Pediatricians worry that less recognition of child abuse while kids were away from in-person school might be to blame.
A study of nearly 2 million Medicaid enrollees in 2016 revealed racial disparities in healthcare spending and use. Black enrollees used fewer primary care services and recommended care for acute and chronic conditions, but had higher emergency department use compared to white enrollees.