A new emergency department study from the University of Michigan Injury Center looks deeper at risk and protective factors among teenagers who report dating violence and alcohol use.
Language used in everyday social media posts may have a strong connection to an individual’s health. In the first study of its kind, the new results suggest that not only are many adult Facebook and Twitter users willing to share their social media data and medical data for research purposes, but that by building a language databank, it may be possible to link social media content to health outcomes.
Use of computed tomography (CT) scans of the chest for hospital emergency-room patients with blunt trauma could be reduced by more than one-third without compromising detection of major injury, concludes a new study led by a UC San Francisco physician.
In a study to be published on Oct.1 by the journal Pediatric Emergency Care, investigators at Children’s Hospital Los Angeles piloted a brief mental health screening tool to be used with patients accessing the emergency department for medical complaints who might be at risk for mental health problems.
Stony Brook Children’s Hospital clinicians follow pain management protocols to proactively, preemptively, and consistently treat pain in each and every pediatric patient. Known as the Ouchless Approach to Pediatric Medicine, Margaret McGovern, MD, PhD, Physician-in-Chief, describes it as the cornerstone of treatment for pediatric patients at Stony Brook Children’s. Designed to specifically address acute pain, the approach acknowledges that many children arrive in pediatric emergency departments in different levels of pain, following an injury or because of an illness, etc. And clinicians often have to give injections, reset broken bones, and do other procedures may result in pain or discomfort in patients.
A team of researchers from the Trauma Program at Children’s Hospital Los Angeles conclude that an admission hematocrit provides a reliable screening test for identifying pediatric patients who are at an increased risk of bleeding after injury.
A new article in the prestigious New England Journal of Medicine offers guidance for doctors and other travelers about how to deal with medical emergencies during air travel. It's important advice that could save your life.
In cancer patients nearing the end of life, certain subtypes of delirium—specifically, hypoactive and "mixed" delirium—are a strong indicator that death will come soon, reports a study in Psychosomatic Medicine: Journal of Biobehavioral Medicine, the official journal of the American Psychosomatic Society. The journal is published by Wolters Kluwer.
The results of a five-year trial from faculty at the University of Michigan Injury Center found giving youth in the emergency department a short intervention during their visit decreased their alcohol consumption and problems related to drinking over the following year.
When an older person gets hospitalized for pneumonia, where’s the best place to care for them? New research findings about deaths and health care costs in such patients fly in the face of conventional wisdom – and could change where doctors decide to treat them.
Mechanical ventilators are routinely used in both surgical and emergency situations every day in U.S. hospitals. Though often life saving in the short term, prolonged use of ventilators can lead to diaphragm weakness, and problems commonly arise—roughly 20 to 30 percent of the time—when weaning the patient off of the ventilator. In a new study, researchers at the University of Florida provide insights into what causes the weakness on a cellular level. Their result could lead to strategies that hospitals can use to help prevent ventilator-related diaphragm damage.
Scientists at Queen’s University Belfast are developing a potential revolutionary new treatment for Sepsis and Acute Respiratory Distress Syndrome (ARDS), which are among the leading causes of death in hospitalised patients in the UK.
The ideal management strategy for primary cardiogenic shock is a matter of debate. After some early discouraging experiences, the use of extracorporeal life support for patients with cardiogenic shock is having a resurgence. A report from researchers in Padua, Italy finds that patients who have an acute onset of cardiogenic shock, for example following a heart attack, and are placed on extracorporeal life support, fare better than those who have a chronic cardiac pathology. In an accompanying editorial, Dr. Vivek Rao of the University of Toronto puts the findings of the study, such as a 59% survival to hospital discharge rate, in perspective.
A Vanderbilt patient who survived the unthinkable has brought a whole new meaning to the term “butt dialing” and believes that prayer, along with a little help from Siri, saved his life.
A bomb blast or a rough tackle can inflict serious brain damage. Yet at the time of impact, these injuries are often invisible. To detect head trauma immediately, a team of researchers has developed a polymer-based material that changes colors depending on how hard it is hit. The goal is to someday incorporate this material into protective headgear. They will describe their approach at the 250th National Meeting & Exposition of the American Chemical Society.
A large randomized clinical trial of an emergency department (ED)-based program aimed at reducing incidents of excessive drinking and partner violence in women did not result in significant improvements in either risk factor, according to a new study from researchers at the Perelman School of Medicine at the University of Pennsylvania.
Expert panel agrees even when emergency physicians aren't 100 percent sure a person is suffering from a severe allergic reaction, epinephrine should be used.
A new computer-based method correctly predicts septic shock in 85 percent of cases, without increasing the false positive rate from screening methods that are common now.
A new blood test could help emergency room doctors quickly diagnose traumatic brain injury and determine its severity. The findings, published July 10 in the Journal of Neurotrauma, could help identify patients who might benefit from extra therapy or experimental treatments.
New research indicates that adults born very premature are more likely to be socially withdrawn and display signs of autism.
Sudden cardiac arrest kills an estimated 200,000 people a year in the United States, but many of those lives could be saved if ordinary bystanders simply performed CPR, a new study led by Duke Medicine shows. The early application of cardio-pulmonary resuscitation (CPR) by an average person nearby, combined with defibrillation by firefighters or police before the arrival of emergency medical services (EMS), was the one intervention that substantially increased survival from cardiac arrest, according to findings reported by Duke researchers and colleagues in the July 21 issue of the Journal of the American Medical Association.
Two studies in the July 21 issue of JAMA find that use of interventions such as cardiopulmonary resuscitation and automated external defibrillators by bystanders and first responders have increased and were associated with improved survival and neurological outcomes for persons who experienced an out-of-hospital cardiac arrest.
Indiana University School of Medicine emergency room physicians compared treatment between rivaroxaban and warfarin for deep vein thrombosis or pumonary embolism and found advantages for the patient and improved outcomes from rivaroxaban.
Paramedics and emergency medical technicians are trained to save lives. But they sometimes enter situations where a dying patient’s end-of-life wishes contradict their professional code.
A PLOS ONE study has found that burn patients experience dramatic changes in the 100 trillion bacteria inside the gastrointestinal tract.There was an increase in potentially harmful bacteria, and decrease in beneficial bacteria. The findings suggest that burn patients might benefit from treatment with probiotics.
New research offers clues as to why some kids can have a second, related severe allergic reaction hours after a first – and what to do about it.
A new map of emergency stroke care in America shows just how much of a patchwork system we still have for delivering the most effective stroke treatment. And thousands of people a year may end up unnecessarily disabled as a result.
Although a goal of Medicaid expansion under the Affordable Care Act was to provide Medicaid patients with a source of nonemergency care outside of hospital emergency departments (EDs), researchers suggest that these newly enrolled patients will likely continue to look to EDs for treatment of chronic diseases and other nonemergency issues, despite state attempts to impose fees on ED visits. Health policy researchers suggest in a new Perspective published in the New England Journal of Medicine that patient-centered medical homes may be more effective in reducing the number of Medicare patients seeking nonemergency care in EDs than increasing the cost of the visits.
Simply asking the question, "Do you want more pain medication?" resulted in satisfactory pain control in 99 percent of emergency department patients participating in a study.
The 50 hospitals in the United States with the highest markup of prices over their actual costs are charging out-of-network patients and the uninsured, as well as auto and workers’ compensation insurers, more than 10 times the costs allowed by Medicare, new research suggests. It’s a markup of more than 1,000 percent for the same medical services.
About one-third of patients admitted to an intensive care unit (ICU) will develop delirium, a condition that lengthens hospital stays and substantially increases one’s risk of dying in the hospital, according to a new study led by Johns Hopkins Medicine researchers appearing in the British Medical Journal.
An article in the June 2015 issue of Critical Care Nurse reviews post-acute transitional care as provided at a skilled nursing facility in western New York and examines the individual roles of various interdisciplinary team members, including progressive care nurses.
Can a routine hospital stay upset the balance of microbes in our bodies so much that it sets some older people up for a life-threatening health crisis called sepsis? A new study suggests this may be the case.
Emergency medicine faces special challenges during this fall's changeover in how medical diagnoses are coded. Nearly a quarter of all ER clinical encounters could pose difficulties.
New research has led to FDA approval of the use of a drug to treat the effects of radiation exposure following a nuclear incident. The drug, Neupogen, is the first ever approved for the treatment of acute radiation injury.
New research from UAB shows that high-heeled-shoe-related injuries doubled between 2002 and 2012. The frequency and severity of those injuries were sufficient to make the investigators suggest that wearing the appropriate shoes for the appropriate occasion and being aware of one’s surroundings are good ideas.
\Severe sepsis is a significant cause of rehospitalization along the lines of nationally recognized outcome measures and more commonly discussed conditions such as heart failure (HF) and pneumonia, said Darya Rudym, MD, New York University School of Medicine, New York, lead author of a study presented at the 2015 American Thoracic Society International Conference.
Chest pain sends 7 million Americans to the ED each year. About half are admitted for further observation, testing or treatment. A new study finds a very low short-term risk for life-threatening cardiac events among patients with chest pain who have normal test results.
Each year, more than 10 million Americans seek medical attention, often in emergency situations, for symptoms of intestinal blockages. Researchers at the University California, San Diego School of Medicine have identified an abnormal form of small bowel twisting (or volvulus) that may cause these painful obstructions. In contrast to other causes of bowel obstruction that are treated with bowel rest, these require immediate surgical care.
Applying palliative care principles to emergency departments may reduce the number of geriatric patients admitted to intensive care units.
Hospital readmission rates after major thoracic surgery can run as high as 10-17%. Alarmingly, readmission after pulmonary resection for lung cancer has been associated with worse outcomes, including higher mortality. Thus, reducing readmissions after thoracic surgery can both save lives and reduce healthcare costs. Studies in internal medicine and cardiology have shown that programs that improve the transition from hospital to post-discharge care can be effective in decreasing emergency room visits and re-hospitalization. This study from McMaster University describes for the first time the benefits of an active, post-discharge intervention that begins in the hospital for patients who have undergone thoracic surgery.
In a recent Johns Hopkins study, researchers found that nearly one-quarter of ICU survivors suffer from PTSD. They also identified possible triggers for PTSD and indicated a potential preventive strategy: having patients keep ICU diaries.
When a hospital patient’s heart stops, the drama starts, as doctors and nurses work furiously at resuscitation. Some hospitals allow family members to watch, while the majority do not. Now, a study has shown for the first time on a national scale that patients do just as well after a cardiac arrest either way.
Emergency department patients have misperceptions about opioid dependence and want more information about their pain management options, according to a new study from researchers at the Perelman School of Medicine at the University of Pennsylvania. The study, published online in the Annals of Emergency Medicine, found that patients seen in the emergency department for acute pain expressed a desire for better communication from physicians about their pain management options, along with discussion of the risks of opioid dependence.
Two young men sit in an inner-city ER. One is getting care for injuries he suffered in a fight, the other, for a sore throat. After getting care, both head back out to an environment of violence and poverty. But, a new study finds, the one who had been in a fight will have a 60% chance of involvement in a violent incident involving a firearm within the next two years.
An experimental therapy developed by researchers at Albert Einstein College of Medicine of Yeshiva University cut in half the time it takes to heal wounds compared to no treatment at all. Details of the therapy, which was successfully tested in mice, were published online in the Journal of Investigative Dermatology.
Charles Bouchard, MD, MA, chair of the Department of Ophthalmology, says “Loyola is a level 1 trauma center which means our patients have access 24/7 to medical specialists to care for the most severe and complex cases.” He adds, “Sophia’s cut was very deep and it was possible that she would lose her eye. After counseling the parents as to the severity, I took her to the operating room, scrubbed in and set about to save as much of her eye as possible.” Dr. Bouchard stopped the bleeding and repaired the corneal laceration.
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