Feature Channels: Emergency Medicine

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An open-access American Journal of Roentgenology (AJR) article exploring the diagnostic value of chest CT for coronavirus disease (COVID-19) pneumonia--especially for patients with negative initial results of reverse transcription-polymerase chain reaction (RT-PCR) testing--found that the less pulmonary consolidation on chest CT, the greater the possibility of negative initial RT-PCR results.

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As a parent, your number one goal is keeping your child safe and healthy. When is it time to head to the emergency department (ED)—and when is it best to call your child’s doctor, or go to an urgent care center?

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Researchers from UCLA, Harvard Medical School and the University of Tokyo found that during a recent six-year period, homeless people in New York state were more likely to hospitalized and treated with mechanical ventilators for respiratory infections than people who are not homeless. These findings have implications for the COVID-19 pandemic.

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The number of patients visiting the emergency department (ED) for asthma treatment dropped by 76% in the first month of the COVID-19 pandemic, according to a new study by researchers at Children’s Hospital of Philadelphia (CHOP). The proportion of ED visits that led to a patient being hospitalized also decreased over this period, suggesting the decrease in overall visits was not solely due to patients avoiding the hospital due to the pandemic or delays in care for less serious asthma events.

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How do we decide which patients with COVID-19 should get priority for lifesaving ventilators and ICU beds? Writing in the July issue of Medical Care, a prominent bioethicist argues that COVID-19 triage strategies should focus on saving lives, rather than prioritizing life-years saved. Medical Care is published in the Lippincott portfolio by Wolters Kluwer.

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A new commentary highlights the dramatic decline in emergency department visits during the COVID-19 pandemic and what could be causing the decrease.

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The first days of summer mean warmer temperatures and plenty of sunlight for outdoor play. However, for adolescents and young adults alike, additional risks for injury are present, especially as states’ sheltering in place requirements have limited activity in recent months. With media reporting an increase in sales of outdoor toys such as trampolines and inflatable toys because of COVID-19, the American Academy of Orthopaedic Surgeons (AAOS) is reminding parents to encourage families to think before they bounce.

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Early data from a clinical study suggest that blocking the Bruton tyrosine kinase (BTK) protein provided clinical benefit to a small group of patients with severe COVID-19.

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Researchers at Henry Ford Health System in Detroit say early diagnosis of a life-threatening blood clot in the lungs led to swifter treatment intervention in COVID-19 patients. In a new study published recently in the journal Radiology, researchers found that 51 percent of patients found to have a pulmonary embolism, or PE, were diagnosed in the Emergency Department, the entry point for patients being admitted to the hospital.

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Rutgers experts discuss death dying and end-of-life care during the global COVID-19 pandemic.

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Due to the devastating worldwide impact of COVID-19, the illness caused by the SARS-CoV-2 virus, there has been unprecedented efforts by clinicians and researchers from around the world to quickly develop safe and effective treatments and vaccines.

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Of nearly 6,500 commercially insured patients treated in EDs nationwide for an overdose or other opioid-related medical complications, only 16 percent accessed opioid use disorder (OUD) medications or another form of treatment within three months of the ED visit.

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A three-pronged approach will help to predict COVID-19 infection in healthcare workers. At the center of it all – a ring, which tracks vitals such as heart rate and temperature and alerts the user that they might be getting sick without even realizing it. The study also will determine if participants go on to develop an acute COVID-19 infection and the prevalence rate in that population. Researchers hope to better identify patterns that could predict the emergence and recovery from novel infections to prevent and contain future pandemics.

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UC San Diego Health has deployed a mobile ECMO life support system to help sustain critically-ill patients during the pandemic.

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The Emergency Medical Services (EMS) Committee of the Conference of Boston Teaching Hospitals is pleased to join our hospital Emergency Medicine colleagues, the American College of Emergency Physicians, the National Association of EMT’s, Governor Charles D. Baker and Lieutenant Governor Karyn Polito, and City of Boston Mayor Martin J. Walsh in celebrating National EMS Week 2020, commencing May 17th, 2020.

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Treatment with antivirals such as interferons may significantly improve virus clearance and reduce levels of inflammatory proteins in COVID-19 patients, according to a new study in Frontiers in Immunology.

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A new guide from emergency medicine doctors details the potentially deadly cardiovascular complications COVID-19 can cause.

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Research and experts on the symptoms and spread of COVID-19, impact on global trade and financial markets, public health response, search for an effective treatment, and more

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Chest X-rays performed on young and middle-aged adults with COVID-19 when they arrive at the emergency room can help doctors predict who is at higher risk of severe illness and intubation, Mount Sinai researchers report.

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Children suffering from sickness and diarrhea, coupled with a fever or history of exposure to coronavirus, should be suspected of being infected with COVID-19, recommends a new study published in Frontiers in Pediatrics.

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The following are various story ideas regarding the COVID-19 illness. To interview experts in these tips or others at Johns Hopkins, contact [email protected].

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Patients with COVID-19 can have bowel abnormalities, including ischemia, according to a new study published today in the journal Radiology.

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To meet the growing demand for qualified individuals to staff the hotline, NJPIES - which is part of Rutgers New Jersey Medical School - recruited and trained volunteers from throughout Rutgers, including the Rutgers School of Public Health, the state’s only accredited graduate school of public health, whose students were among the first to volunteer.

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While the number of pediatric emergency department (ED) visits across the nation has remained stable over the last 10 years, visits for mental health disorders have risen 60% and the rate of visits for deliberate self-harm have increased 329%. In a study published today in Pediatrics, Nationwide Children’s Hospital researchers looked at the number and reason for mental health-related ED visits.

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One of the most important tools in stopping the spread of the novel coronavirus, SARS-CoV-2, is rapid, reliable and relatively cheap diagnostic testing at the point of care. Scientists in Europe recently evaluated the frontline capabilities of a commercially available, 15-minute disposable antigen test to detect COVID-19 infections.

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UAB is launching a pilot program aimed at getting more opioid users into treatment, using telemedicine in three rural counties and emploing the Alabama One Health Record®, a statewide health information exchange, to track outcomes in these patients.

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Offering $750 to emergency medicine physicians exponentially increased those trained to prescribe buprenorphine.

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Gottlieb Memorial Hospital’s renovated and expanded emergency department will open today (Tuesday, May 5, 2020). The expansion will accommodate an increase in daily patient visits and future growth to meet the needs of Melrose Park and surrounding communities. Gottlieb is a member of Loyola Medicine, which includes Loyola University Medical Center and MacNeal Hospital. The $15.8 million project is made possible by the Gottlieb Memorial Foundation under the leadership of chairman Jack Weinberg. Mr. Weinberg’s grandparents, David and Dorothy Gottlieb, along with other community leaders, founded Gottlieb Memorial Hospital in 1961.

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COVID-19 story ideas from Johns Hopkins.

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UC San Diego Health now offers a telemedicine clinic to help patients with COVID-19 recover at home.

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The David Geffen School of Medicine at UCLA is leading a project in collaboration with the University of Iowa Carver College of Medicine to study ways to reduce the risk for COVID-19 infection among emergency department workers.

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COVID-19 healthcare workers will be psychologically impacted by their work during the pandemic and will require psychological support from multiple levels in their organisations, according to an academic review by researchers from Queen Mary University of London, London's Air Ambulance and Barts Health NHS Trust, and a London-based A&E doctor.

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Two top scientists are seeking answers to questions about spinal cord injuries that have long frustrated the development of effective treatments.

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Early reports of COVID-19 symptoms and the compelling need to quickly identify treatment options and curb the growing number of critically ill patients have led to erroneous and potentially dangerous comparisons between COVID-19 and other respiratory diseases like high altitude pulmonary edema, or HAPE.

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A clinical trial now underway is looking at whether blood plasma donated by people recovered from 2019 coronavirus disease (COVID-19) could be used to treat other people with the pandemic virus.

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Barbara A. Masser, MD, Medical Director at BIDMC urgent care centers in Chelsea and Chestnut Hill, offers advice to help you make the right decision when your care can't wait.

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Doctors who treat stroke and heart attack patients are trying to find out why they have been seeing fewer patients with these life-threatening emergencies during the COVID-19 pandemic. Is COVID-19 somehow preventing emergencies from happening? Or, are people ignoring symptoms and staying home instead of seeking the medical care they need?

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Doctors at the University of Chicago Medicine are seeing “truly remarkable” results using high-flow nasal cannulas rather than ventilators and intubation to treat some COVID-19 patients. A team from UChicago Medicine’s emergency room took 24 COVID-19 patients who were in respiratory distress and gave them HFNCs instead of putting them on ventilators. The patients all fared extremely well, and only one of them required intubation after 10 days.

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In a New England Journal of Medicine "Perspective" published today, Wafaa El-Sadr, MD, MPH, global director of ICAP at Columbia University Mailman School of Public Health, and Jessica Justman, MD, ICAP's senior technical director, and associate professor of epidemiology, urge a coordinated global effort in the face of the COVID-19 pandemic, with "countries around the world [taking] concrete steps to assist Africa in staying ahead of the curve, even as they confront their own epidemics."

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Since California's stay-at-home order took effect, specialists at the Firefighters Burn Institute Regional Burn Center at UC Davis Medical Center have seen a nearly six-fold increase in patients with burns related to at-home food preparation.

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Newswise Live Expert Panel for April 16, 2020: COVID-19 Updates, Medicine Safety, 3D Printed Ventilators, Exercise in Isolation

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The novel coronavirus that has infected more than one million people globally (at time of publication) is not just a physical health threat.

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Researchers from the University of Michigan have developed a helmet solution to provide support for COVID-19 patients, protect health care workers and safeguard hospital systems.

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As the COVID crisis continues to test the capacity of the healthcare system, what interventions are necessary to turn the tide of new infections, will the relief package have an impact, and how will a prolonged shutdown affect our economy?

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New research published in Academic Emergency Medicine indicates that for physicians and nurses working evening shifts in the emergency department, interacting with a therapy dog for several minutes may help lower stress.

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Researchers have created an algorithm that aims to protect operating room team members who perform urgent and emergency operations from COVID-19.

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An international team led by University of British Columbia researcher Dr. Josef Penninger has found a trial drug that effectively blocks the cellular door SARS-CoV-2 uses to infect its hosts.