UChicago Medicine cared for 274 adult trauma patients during its first four weeks as a Level 1 trauma center, an average of more than nine patients a day.
Researchers from University of California San Diego School of Medicine and Arizona State University found that if a car is parked in the sun on a summer day, the interior temperature can reach 116 degrees F. and the dashboard may exceed 165 degrees F. in approximately one hour — the time it can take for a young child trapped in a car to suffer fatal injuries.
Designed by former law enforcement and fire department personnel, active shooter detection and mitigation systems can automatically detect gunshots, aggressive speech, breaking glass, and other violent actions.
National guidelines assume that all patients who’re diagnosed with clinical sepsis in an emergency department will be admitted to the hospital for additional care, but new research has found that many more patients are being treated and released from the ED for outpatient follow-up than previously recognized.
Dr. James Callahan, emergency medicine physician and co-author of the May 2018 AAP policy statement on Life Support Training, is available to speak with the media. He says that even very young children can be taught to call for help and also how to operate an automated external defibrillator (AED).
For patients with sepsis, a serious infection causing widespread inflammation, immediate treatment is essential to improve the chances of survival. An updated “Hour-1 Bundle” of the international, evidence-based guidelines for treatment of sepsis is introduced in the June issue of Critical Care Medicine. The official journal of the Society of Critical Care Medicine (SCCM), Critical Care Medicine is published in the Lippincott portfolio by Wolters Kluwer.
Everyone enjoys spending the summer months in the great outdoors but you have to do it responsibly or injury can occur, say doctors with UT Physicians, the clinical practice of McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth.)
The Gary and Mary West Emergency Department at UC San Diego Health in La Jolla has been accredited as a geriatric emergency department by the American College of Emergency Physicians (ACEP). The accreditation is the first of its kind and is part of an effort to improve the quality and standards of emergency care provided to the nation’s older patients.
For patients with substance use disorders seen in the emergency department or doctor's office, locating and accessing appropriate treatment all too often poses difficult challenges. Healthcare providers and treatment facility administrators share their views on delays and obstacles to prompt receipt of substance use disorder treatment after referral in a study in the Journal of Addiction Medicine, the official journal of the American Society of Addiction Medicine (ASAM). This journal is published in the Lippincott portfolio by Wolters Kluwer.
What You Can Do, launched today by the UC Davis Violence Prevention Research Program, offers information and support for providers looking for ways to reduce firearm injury and death, particularly among patients at elevated risk.
A new Johns Hopkins Medicine analysis of national trauma data shows that trauma patients were four times more likely to die from gunshot wounds and nearly nine times more likely to die from stab wounds before getting to a trauma center in 2014, compared with rates in 2007.
During an acute stroke blood flow to the brain stops. Every minute that passes without oxygen, another 1.9 million neurons die. With two comprehensive stroke centers, clinical research and a growing telestroke program, Northwestern Medicine is focused on providing rapid diagnosis and treatment for the more than 1,600 patients the academic medical system treats each year.
In a review published today in the New England Journal of Medicine, Gregory R. Ciottone, MD, Director of the Division of Disaster Medicine in the Department of Emergency Medicine at BIDMC, advocates for an overhaul to the systems currently in place to respond to a chemical weapons strike on U.S. soil. In addition to calling for increased training and awareness, Ciottone also proposed a triage system – available online – based on recognizing the signs and symptoms of specific agents during the early phase of a chemical weapons attack.
Nearly 60,000 people die from bleeding each year, and though injuries that result in extreme blood loss have long been a sight all too common in areas like West Philadelphia, the national spotlight has certainly shone upon the issue of late. These days it seems everyone has a dog in the fight; as politicos battle over gun control legislation, teens march in the streets advocating for improved school safety measures, and debates wear on across the dinner table, trauma experts at the national, state, and local levels are taking cues from decades-long CPR awareness campaigns to improve public education and training in life-saving bleeding control (B-Con) techniques.
Every day, about 165 in-flight emergencies occur on the 100,000 or so airplanes that take to the skies around the world, according to the most recent estimates. But, there are currently no federal guidelines for physicians in these situations, and there is no mandatory reporting system that tracks in-flight emergencies. After being the only physician on board during two in-flight emergencies, Rachel Zang, MD, an Emergency Medicine resident at the Hospital of the University of Pennsylvania, learned as much as she could about the laws and what exactly is in on-board medical kits. Today she imparts that knowledge to other physicians.
In response to repeated calls for an integrated emergency care system in the U.S., the University of Pittsburgh rose to the challenge and divided the nation into hundreds of referral regions that describe how patients access advanced care, in a way that respects geopolitical borders.
Using a mouse model, researchers have found mechanistic links between older stored red blood cell transfusions and subsequent bacterial pneumonia. This may reveal new approaches to improve safety of stored red blood cell transfusions. The key player is free heme, released from broken blood cells.
Patients who sustain severe head injuries tend to have better outcomes if they are taken to a designated trauma center, but 44 percent of them are first taken to hospitals without these specialized care capabilities, according to new research from the Perelman School of Medicine at the University of Pennsylvania.
A study published in the American Journal of Critical Care may help resolve the dilemma related to backrest elevation, finding that changing backrest elevation in critically ill patients receiving mechanical ventilation may not be as important or as effective in preventing pressure injuries as once thought.
Vanderbilt University Medical Center is encouraging its medical providers to stop using saline as intravenous fluid therapy for most patients, a change provoked by two companion landmark studies released today that are anticipated to improve survival and decrease kidney complications.
Critically ill patients who experience long periods of hypoxic, septic or sedative-associated delirium, or a combination of the three, during an intensive care unit (ICU) stay are more likely to have long-term cognitive impairment one year after discharge from the hospital, according to a new study.
Commonly used ICU risk scores can be "repurposed" as continuous markers of severity of illness in critically ill patients—providing ongoing updates on changes in the patient's condition and risk of death, according to a study in the March issue of Critical Care Medicine, official journal of the Society of Critical Care Medicine (SCCM). The journal is published by Wolters Kluwer.
Two new analytical methods, one to evaluate a new cyanide antidote, dimethyl trisulfide, and another to quickly detect a substance associated with exposure to mustard gas, are helping scientists develop countermeasures against these chemical warfare agents.
Obesity and other common cardiovascular risk factors may play a greater role in sudden cardiac arrest among younger people than previously recognized, underscoring the importance of earlier screening, a Cedars-Sinai study has found.
More people are walking away from a type of cardiac arrest that is nearly always fatal, thanks to a new protocol being tested at The Ohio State University Wexner Medical Center. It’s called an ECPR alert.
Pressure-related skin injuries, a nurse-sensitive quality indicator in hospitals, are associated with increased morbidity and higher costs of care. There’s been much attention focused on hospital-acquired pressure injuries (HAPI) in the adult population.
Researchers studied blood samples taken from patients diagnosed with sepsis and found that elevated chlorinated lipids predicted whether a patient would go on to suffer acute respiratory distress symptom (ARDS) and die within 30 days from a lung injury.
New research by Arizona State University Professor Jonathan Helm finds that not only do health-care coalitions that share information have better patient outcomes, the benefits extend far beyond disasters.
A report of two young children with burns of the esophagus caused by swallowed button batteries from "fidget spinners" highlights a risk of severe injuries involving these popular toys, according to a series of reports in the January/February Journal of Pediatric Gastroenterology and Nutrition (JPGN). Official journal of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN) and the European Society for Paediatric Gastroenterology, Hepatology and Nutrition, JPGN is published by Wolters Kluwer.
For patients who have never been prescribed opioids, larger numbers of tablets given with the initial prescription is associated with long-term use and more tablets leftover that could be diverted for misuse or abuse. Implementing a default option for a lower quantity of tablets in the electronic medical records (EMR) discharge orders may help combat the issue by “nudging” physicians to prescribe smaller quantities consistent with prescribing guidelines Penn Medicine researchers show in a new study published this week in the Journal of General Internal Medicine.
A campaign by Rutgers University and the Tara Hansen Foundation prompts New Jersey to designate January 23 of each year as Maternal Health Awareness Day
Geriatric patients seen by transitional care nurses in the emergency department (ED) are less likely to be admitted to the hospital, according to a study conducted at the Icahn School of Medicine at Mount Sinai.
While moderate drinking – up to one drink per day for women, two for men – can be part of a healthy lifestyle, excessive and chronic drinking can contribute to injury and disease. Each year, U.S. patients utilize emergency department (ED) services more than 130 million times, averaging nearly four visits per every 10 people. Alcohol-related injury and disease are commonly the cause of these visits. This study examined trends in ED visits that involved heavy and chronic drinking by age and gender between 2006 to 2014.
There are major measurement issues in patient experience data collected from U.S. emergency departments, including high variability and limited construct validity, according to an analysis published by researchers at the George Washington University and US Acute Care Solutions.
Playing an adventure video game featuring a fictitious, young emergency physician treating severe trauma patients was better than text-based learning at priming real doctors to quickly recognize the patients who needed higher levels of care, according to a new trial. The game tackles the annual problem of 30,000 preventable deaths occurring after injury, in part because severely injured patients aren't promptly transferred to trauma centers.