Feature Channels: Emergency Medicine

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Dr. Selwyn O. Rogers Jr., a top surgeon and public health expert with 16 years of trauma care experience, will lead the University of Chicago Medicine's development of the South Side's only Level 1 adult trauma center, scheduled to open in 2018. He joined the organization on Jan. 5, 2017. As chief of the Section for Trauma & Acute Care Surgery and founding director of the University of Chicago Medicine Trauma Center, Rogers will build an interdisciplinary team of specialists to treat patients who suffer injury from life-threatening events such as car crashes, serious falls and gun violence.

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A UAB study shows that evaluation from a vision specialist should be included in return-to-learn concussion protocols.

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In an article to be published in the Jan. 5 edition of the New England Journal of Medicine, a Henry Ford Hospital critical care medicine physician describes in candid detail about how her own near-death experience inspired an organizational campaign to help health professionals communicate more effectively and demonstrate more empathy to their patients.

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Over the last few weeks, Vanderbilt University Medical Center has seen multiple admissions and a few tragic deaths due to fire and smoke inhalation injuries.

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Researchers at McMaster University and St. Joseph’s Healthcare Hamilton have demonstrated that physiotherapists can safely start in-bed cycling sessions with critically ill, mechanically ventilated patients early on in their ICU stay.

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Emergency rooms in communities with indoor smoking bans reported a 17 percent decrease in the number of children needing care for asthma attacks, according to new research from the University of Chicago Medicine.

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In a research letter published Dec. 27, 2016, in JAMA, University of Chicago physicians found that when one patient on a typical 20-bed hospital unit took a turn for the worse, the other patients on that ward were at increased risk for their own setbacks.

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ICUs are being used too often for patients who don’t need that level of care, according a new research in JAMA Internal Medicine.

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This story outlines the role of WIU students in helping create a 911 network to cover some of the handful of counties in Illinois without 911 services.

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A ‘living bandage’ made from stem cells, which could revolutionise the treatment and prognosis of a common sporting knee injury, has been trialled in humans for the first time by scientists at the Universities of Liverpool and Bristol.

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Rates of new pressure injuries in U.S. hospitals and other acute care settings have decreased by about half over the past decade, according to national survey data reported in the Journal of Wound, Ostomy and Continence Nursing. Official journal of the Wound, Ostomy and Continence Nurses (WOCN®) Society, the Journal of WOCN® is published by Wolters Kluwer.

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In one of the first studies to examine priorities in recovery identified by trauma patients, family members and clinicians over time, an international research partnership that was launched from the University of Pennsylvania School of Nursing (Penn Nursing) and Griffith University School of Nursing & Midwifery in Australia has helped advance the importance of patient-reported outcome measures for improved trauma care and research.

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University of Warwick is collaborating with researchers at the NIHR Surgical Reconstruction and Microbiology Research Centre (SRMRC) to support a ground-breaking new study to investigate the effectiveness of giving patients blood products immediately after a major injury or trauma - before they reach hospital.

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ROCHESTER, Minn. — Using a shared decision-making aid to involve patients more in their own care decisions can prevent unnecessary hospitalization or advanced cardiac tests for patients reporting low-risk chest pain — for the cost of about 1 minute of time. So says a study from Mayo Clinic researchers, published online today in The BMJ.

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Case Western Reserve University researchers have developed a portable sensor that can assess the clotting ability of a person’s blood 95 times faster than current methods—using only a single drop of blood.

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The study uses fMRI data to compare brain development between children who experience pervasive, continuing trauma and those with “normal” development.

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Johns Hopkins investigators report that their analysis of a national database representing more than 1 billion emergency department visits shows that over a recent eight-year period, nothing much has changed in the rates of unsuccessful suicide attempts, or in the age, gender, seasonal timing or means used by those who tried to take their lives in the United States.

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A program to educate teens about distracted driving—including a tour of a hospital trauma center and testimony from a trauma survivor—can increase awareness of the dangers of texting, cell phone use, and other distractions while driving, reports a study in the Journal of Trauma Nursing, official publication of the Society of Trauma Nurses.

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ROCHESTER, Minn. — Approximately 10 percent of newborns require help breathing after birth, and 1 in 1,000 newborns require more intensive resuscitation measures. These infrequent, high-risk deliveries may present challenges to community hospitals less familiar with advanced newborn resuscitation interventions. Telemedicine consultations are a good option to help meet these challenges and positively impact patient care, according to a study published in Mayo Clinic Proceedings.

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Victoria Shanmugam, M.D., associate professor of medicine at the George Washington University School of Medicine and Health Sciences, published a study in Wound Repair and Regeneration finding that opioid exposure is associated with reduced likelihood of healing in patients with chronic wounds.

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Fewer motorcycle riders who are involved in crashes across the state of Michigan are wearing a helmet, and the state’s trauma centers have seen a 14 percent increase in head injuries among motorcyclists, since the state’s partial repeal of its universal helmet law in April 2012, a new study finds.

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New clinical resources from AACN address some of the most serious complications facing critically ill patients -- delirium, catheter-associated urinary tract infections (CAUTIs) and venous thromboembolism (VTE). These updated AACN Practice Alerts feature the latest evidence-based resources and research and are available at no cost via the AACN website, www.aacn.org/practicealerts.

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Study provides further evidence retail clinics may not cut health costs

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A study being presented at the American College of Allergy, Asthma and Immunology (ACAAI) Annual Scientific Meeting found only 18 percent of non-nursing school staff surveyed felt very confident in their ability to recognize anaphylaxis symptoms. Only 19 percent felt very confident that they could correctly treat a child having a severe allergic reaction.

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The newly implemented emergency department care model at NYU Lutheran Medical Center has introduced a new model of care to improve efficiency and provide a better patient experience.

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Scientists from Children's Health Research Institute, a program of Lawson Health Research Institute, and Western University have developed a new blood test that identifies with greater than 90 per cent certainty whether or not an adolescent athlete has suffered a concussion.

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NewYork-Presbyterian has launched Digital Urgent Care and Virtual Visit, two new online services connecting patients with NYP providers, which includes ColumbiaDoctors, Weill Cornell Medicine’s Physician Organization and NewYork-Presbyterian Medical Groups, through real-time video. The services are available on www.nyp.org and through the NYP mobile app (mobileapp.nyp.org). Digital Urgent Care and Virtual Visit are the latest offerings from NYP OnDemand, a comprehensive suite of digital health services designed to improve and expand patient care.

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Zinc is essential for wound healing, for vision, for DNA creation, for our senses of taste and smell, even for sexual health. But despite its importance, scientists have never fully understood the mechanism that moves the mineral through the body – until now. Researchers have, for the first time, created detailed blueprints of the molecular moving vans that ferry this important mineral everywhere it’s needed through the blood.

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Hip fractures are a common and disabling condition that occurs more than 300,000 times each year in the United States in those 65 and older—1.6 million times worldwide. A new study from Penn Medicine, which compared outcome variations in acute and post-acute care facilities, suggests that for older adults hospitalized with hip fracture, the quality of the post-acute care they receive has a greater impact on long-term recovery than the care they received at the hospital. This study was published today online ahead of print in Medical Care, a journal of the American Public Health Association.

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The wars in Iraq and Afghanistan have produced a horrific type of medical trauma known as the “dismounted complex blast injury” (DCBI), in which an improvised explosive device detonates beneath a soldier patrolling on foot, often leading to multiple-limb loss. Previously, these injuries were considered deadly, but today, new training techniques are helping to manage DCBIs, and in many cases stabilize these critically injured patients and restore many normal functions. The lessons learned will not only save lives on the battlefield in the future but also in civilian trauma centers today.

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MINNEAPOLIS – Researchers have developed a first-of-its-kind tool to help predict a person’s chance of survival after a gunshot wound in the head or other penetrating injury, according to a new study published in the October 26, 2016, online issue of Neurology®, a medical journal of the American Academy of Neurology. It’s called the SPIN-Score, which stands for Surviving Penetrating Injury to the Brain.

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Researchers conducted a cross-sectional chart review of 1,085 patients older than 18 who presented to the KATH emergency department within eight hours of an injury and found 382 subjects, or 35 percent, tested positive for any level of alcohol in their systems.

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Tens of thousands of lives nationwide could be saved each year, and trauma-related deaths and disability could be reduced worldwide if the U.S. health care system embraces the military’s lessons learned in trauma care, according to a report in the (date) of the New England Journal of Medicine.

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The University of Michigan was recently awarded funding from the National Institutes of Health to establish an institutional career development program for advanced training in emergency critical care research.

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In an effort to put the brakes on sobering statistics related to teenagers driving under the influence, researchers at University of California San Diego School of Medicine will join forces with the San Diego Police Department (SDPD) to reduce alcohol-impaired driving among San Diego youth ages 15 to 20.

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Life-threatening injuries – like those sustained in car crashes, falls, shootings – happen in a flash, and illnesses like cardiac arrests and strokes can strike without warning. These patients are often brought to a hospital outside of standard daytime hours of operation, or in conditions that prevent them and their families from being approached about participating in research exploring new treatments for these critical conditions. To address these gaps in research, on Thursday, Penn Medicine formally launched the Penn Acute Research Collaboration (PARC), a first-of-its-kind initiative to give a much needed shot of support to research projects in emergency departments, trauma bays, operating rooms, and intensive care units.

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From housing evacuated livestock to manning the phones at local emergency operations centers, UF/IFAS Extension faculty across the state put in many long hours and a few sleepless nights keeping people safe and informed during Hurricane Matthew.

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An updated practice alert from the American Association of Critical-Care Nurses outlines the latest evidence-based practice for obtaining accurate blood pressure measurements and discusses cuff size and placement considerations, patient positioning and patient safety concerns.

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Because of new research and its impact on clinical practice and assessment methods, the American Association of Critical-Care Nurses has issued an updated AACN Practice Alert about functional hemodynamic monitoring.

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In a new study, researchers used a nationally-representative dataset to estimate the frequency with which emergency providers make a formal diagnosis of elder abuse. The answer: 1 in 7,700 visits.

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Thousands of people die every year because people are not carrying out life saving CPR on cardiac arrest victims before emergency services arrive, according to new research from the British Heart Foundation (BHF).

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Urgent Matters, Philips Blue Jay Consulting, and Schumacher Clinical Partners are pleased to announce the winners of the Emergency Care Innovation of the Year Award, a competition to foster innovation in emergency departments nationwide.

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Patients who come to Loyola Medicine's Level 1 Trauma Center with such severe injuries are dubbed "Big Saves." More than 1,000 Loyola trauma patients and their families were invited to reunite with Loyola medical staff and share their survival stories at the sixth annual Big Save celebration. Tales of recovery this year from patients ages 4 to 67 included gunshot wounds, motorcycle crashes and falls from rooftops.

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NewYork-Presbyterian, in collaboration with Weill Cornell Medicine, Columbia University Medical Center and the FDNY, is launching the Mobile Stroke Treatment Unit (MSTU), the first of its kind on the East Coast.

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A multi-disciplinary group of clinician researchers working in the medical intensive care units (MICU) at Thomas Jefferson University Hospital found no significant difference in mortality of patients on two separate units; one staffed by nurse practitioners, the other by resident physicians. Both groups of patients were under the care of an attending physician.

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Researchers at Intermountain Medical Center, along with researchers from four other centers, including Harvard Medical School, have found that patients with a lower heart rate who are in septic shock have a better chance of survival than those with an abnormally rapid heart rate.

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Bioethics scholars at Johns Hopkins created a 10-point checklist to assess key components of respect and dignity in the intensive care unit (ICU) setting.

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The Center will provide evidence-based, trauma-informed training and consultation to build the capacity of existing and future providers to treat children with complex trauma and their families across New Jersey