Staff members who joined structured team debriefings after emergency care for children suffering in-hospital cardiac arrests improved their CPR performance and substantially increased rates of patients surviving with favorable neurological outcomes.
Controlled application of vacuum pressure is a promising approach to limiting tissue damage after traumatic brain injury (TBI), suggests an experimental study in the August issue of Neurosurgery, official journal of the Congress of Neurological Surgeons. The journal is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health.
For survivors of severe combat injuries threatening more than one limb, reconstructive surgical procedures using tissue flaps have a good record of safety and effectiveness in avoiding amputation, reports a paper in the August issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).
The Kavli Foundation Lecture series features two prominent scientists: one in the booming area of ionic liquids, the other in medical materials. The former has made a novel compound with the potential to lower the energy it takes to capture carbon dioxide. The latter has engineered tissues and medical materials such as a stretchy glue that could transform surgery. They are presenting at the 248th National Meeting & Exposition of the American Chemical Society.
Injuries, birth defects or surgery to remove a tumor can create large gaps in bone. And when they occur in the head, face or jaw, these defects can dramatically alter a person’s appearance. Researchers will report at the 248th National Meeting & Exposition of the American Chemical Society that they have developed a “self-fitting” material that expands with warm salt water to precisely fill bone defects, and also acts as a scaffold for bone growth.
Once told he would never golf again, burn victim Jamie Nieto, now head pro at Pheasant Run Resort in St. Charles, is leading the ninth annual Burn Awareness Golf Outing and silent auction there on Friday, August 29. All proceeds benefit Loyola University Medical Center Burn Center, where Nieto was a patient
When a medical emergency strikes, our gut tells us to get to the nearest hospital quickly. But a new study suggests that busier emergency centers may actually give the best chance of surviving – especially for people suffering life-threatening medical crises.
The increased risk of kidney injury related to the use of hydroxyethyl starch (HES) in resuscitation fluids reflects the mass of HES molecules, according to a report in Anesthesia & Analgesia, official journal of the International Anesthesia Research Society (IARS).
Dating during the teen years takes a violent turn for nearly 1 in 6 young people, a new study finds, with both genders reporting acts like punching and throwing things. The data, drawn from a survey of over 4,000 patients ages 14 to 20, indicate that dating violence is common & affects both genders.
Children who undergo simple emergency surgeries, such as hernia repairs or appendix removals, on weekends are more likely to suffer complications and even die than children getting the same kind of treatment during the week, according to results of a Johns Hopkins Children’s Center study.
Loyola University Health System has established new guidelines to protect burn victims at risk for hypothermia during surgery.
A new approach to designing clinical trials -- so that patients' odds of getting the better-performing treatment improve -- may help increase the number of people who agree to take part in medical studies.
Facial hair and home oxygen therapy can prove a dangerously combustible combination, a Mayo Clinic report published in the peer-reviewed medical journal Mayo Clinic Proceedings finds. To reach that conclusion, researchers reviewed home oxygen therapy-related burn cases and experimented with a mustachioed mannequin, a facial hair-free mannequin, nasal oxygen tubes and sparks. They found that facial hair raises the risk of home oxygen therapy-related burns, and encourage health care providers to counsel patients about the risk.
Child care rules about illness create socioeconomic emergency for many working parents, especially African Americans, single/divorced parents
Simulation techniques that target medical errors and seek to provide continued improvement in the quality and safety of patient care are rapidly becoming the new “go to” methods for professional healthcare education. Ranging from simulated human patients to detailed animations and disaster scenarios, these fool-proof techniques are increasingly used by hospitals, universities, and training schools to bridge between classroom learning and real-life clinical experience.
Four George Washington University School of Medicine and Health Sciences faculty members published a new reference text, “Emergency Care and the Public’s Health.”
A portable imaging tool could change the way the medical community analyzes and understands the long-term effects of sports-related concussions. Research conducted by Humboldt State Kinesiology professor Rock Braithwaite has played a significant role in demonstrating the usefulness of computerized neurocognitive testing in determining the extent of the effects of concussion on cognition and performance among student athletes and military personnel.
In this month’s release, find studies about the risk of head injuries associated with bike share programs; the United States’ slow decline in traffic fatalities; and a new model to estimate the extent to which smoking can be attributed to lung cancer cases.
Traumatic injury is the number one cause of death in children above the age of one. Not only are injuries often life-threatening, but the severity of the injuries can “paralyze” the immune system, increasing a child’s risk for developing potentially deadly secondary infections. Researchers are now testing a drug commonly used to boost the immune systems of kids with cancer to see if it can also help children with life-threatening injuries avoid infection. Their findings could offer treatment strategies for other critical conditions including sepsis and influenza, and reframe the importance of trauma-related immune dysfunction in national efforts to reduce hospital acquired infections.
A substantial number of patients receive care in ambulatory surgical centers. Experts say storing the drug dantrolene at ambulatory surgical centers will save lives and is very cost effective.
Amphetamines can delay exhaustion during exercise in the heat by increasing the temperature at which it occurs. The potential cost? The risk of suffering from exertional heat stroke.
New Johns Hopkins research suggests that critically ill patients receiving steroids in a hospital’s intensive care unit (ICU) are significantly more likely to develop delirium. Results of their research, they say, suggest minimizing the use of steroids could reduce delirium in the ICU.
A vast majority of so-called “super-frequent user” patients who seek care in the Emergency Department (ED) have a substance abuse addiction, according to a Henry Ford Hospital study. A patient is considered a super-frequent user who visits the ED at least 10 times a year.
Mount Sinai study shows the socioeconomic status of congestive heart failure patients does not influence hospital rankings for heart failure readmissions.
Researchers describe how aspirin acts on key skin cells called keratinocytes to delay skin repair at wound sites. A better understanding of this process offers hope for the development of drugs to encourage wounds to heal.
The sedative drugs diazepam (Valium) and lorazepam (Ativan) are equally effective in treating the prolonged seizures known as status epilepticus in children, according to a randomized, controlled study by a multi-institution team of researchers with the Pediatric Emergency Care Applied Research Network, including an expert from the Perelman School of Medicine at the University of Pennsylvania.
Johns Hopkins public health and emergency preparedness experts will host the first national symposium designed to help health care providers and staff better prepare for and react to an “active shooter” in hospitals and other the health care settings. The “Active Shooter Incidents in Hospitals and Healthcare Settings” symposium will explore the legal, moral and ethical obligations of medical institutions and their staff to protect patients when such events occur.
Analyzing federal health care data, a team of researchers led by a Johns Hopkins specialist concluded that doctors overlook or discount the early signs of potentially disabling strokes in tens of thousands of American each year, a large number of them visitors to emergency rooms complaining of dizziness or headaches.
James Manzi recently suffered a massive heart attack that he was lucky to have survived. UCLA utilized a device called the heart-lung machine – not often used in the ER – to save him. Manzi and his wife Barbara, who met at a bar mitzvah in Texas 23 years ago, are grateful to have more time together and look forward to celebrating James’ 80th birthday on April 6.
A new microfluidic method for evaluating drugs commonly used for preventing heart attacks has found that while aspirin can prevent dangerous blood clots in some at-risk patients, it may not be effective in all patients with narrowed arteries. The study, which involved 14 human subjects, used a device that simulated blood flowing through narrowed coronary arteries to assess effects of anti-clotting drugs.
BOSTON – Emergency department usage in Massachusetts rose slightly both during and immediately after implementation of a 2006 state law expanding health care access, a sign that broader availability of insurance may increase use of the ED, Beth Israel Deaconess Medical Center researchers report in a study published in the Annals of Emergency Medicine.
George Washington University Researchers were published today in Academic Emergency Medicine for their paper, "Rising Opioid Prescribing in Adult U.S. Emergency Department Visits: 2001-2010."
Injured patients who live near trauma centers that have closed have higher odds of dying once they reach a hospital, according to a new analysis by UC San Francisco researchers.
Prehospital stroke alerts by emergency medical services (EMS) personnel can shorten the time to effective treatment with "clot-busting" drugs for patients with stroke, according to a report in the March issue of Neurosurgery, official journal of the Congress of Neurological Surgeons. The journal is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health.
In the fight against a nationwide prescription opioid abuse epidemic, Penn Medicine researchers are using storytelling to help doctors recall important, potentially lifesaving national guidelines on how to prescribe these medications.
Early identification of sepsis cases in the emergency department using a symptoms-based screening tool significantly decreased the time interval for administering life-saving antibiotic treatment, according to research reported in the Journal for Healthcare Quality, the peer reviewed publication of the National Association for Healthcare Quality (NAHQ, www.nahq.org).
Appendicitis, the most common potential surgical problem for kids seen in the emergency department, can be visualized with a high degree of accuracy using point-of-care ultrasound. Using it as 1st-line imaging study of choice also reduces kids' exposure to ionizing radiation.
“This study provides several important observations,” said Dr. Raymond Onders, Director of Minimally Invasive Surgery at University Hospitals Case Medical Center. “Most notably, laparoscopic diaphragm mapping – an electronic reading of the diaphragm nerves – is safe and can be performed in multiple centers with success. In addition, early diaphragm mapping can quickly determine if a phrenic nerve injury is complete, allowing for early ventilator planning and prevention of weaning trials if we find the patient will not be able to be weaned from the ventilator. Finally, DP can successfully wean traumatic cervical SCI patients as evidenced by 72 percent of the implanted patients being completely weaned from ventilators and 36 percent with complete recovery and DP removal.
New research from the University of Iowa supports the claim that tele-emergency services can successfully extend emergency care in rural hospitals. Results appear in Health Affairs.
The number of serious traumatic spinal cord injuries is on the rise in the United States, and the leading cause no longer appears to be motor vehicle crashes, but falls, new Johns Hopkins research suggests.
As hospitals and doctors’ offices across the country race to join health information exchanges that let them share medical information securely, a new study suggests that these systems may already be helping cut unnecessary care. Fewer emergency patients got repeated medical scans when they went to a hospital that takes part in an HIE, according to new findings.
More people die and emergency hospital treatment takes longer for heart attack victims who arrive at the hospital during off-hours (nights and weekends), compared with patients who arrive during regular daily hours, according to a Mayo Clinic study published online in the British Medical Journal on Jan. 21.
Although a voluntary shopping cart safety standard was implemented in the United States in 2004, the overall number and rate of injuries to children associated with shopping carts have not decreased. In fact, the number and rate of concussions/closed head injuries have continued to climb, according to a new study.
Continued use of statins may help prevent delirium in critically ill patients who received statins before hospital admission, according to a new study of 470 intensive care patients in the UK.
Delirium in older patients in an emergency room setting can foretell other health issues. But according to a new study published in the Annals of Emergency Medicine, the condition is frequently overlooked because of a lack of screening tools in emergency departments.
Emergency departments may not be the best choice for persons suffering from severe mental illness or emotional distress, according to findings by DePaul University School of Nursing researchers. Persons in a mental health crisis may be better served in an alternative recovery-oriented, homelike environment, they found.
A new study from the Perelman School of Medicine at the University of Pennsylvania has found no significant difference in adjusted overall survival rates between gunshot and stabbing (so-called penetrating trauma injuries) victims in Philadelphia whether they were transported to the emergency department by the police department or the emergency medical services (EMS) division of the fire department.
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