One in nine patients released from the emergency department after treatment for a kidney stone will face a repeat visit, according to findings by Duke Medicine researchers.
A recently developed risk-evaluation protocol can help hospital emergency department personnel more efficiently determine which patients with acute chest pain can be sent home safely, according to a randomized trial conducted at Wake Forest Baptist Medical Center.
A victim of cyanide poisoning can die within 30 minutes.The diagnostic test to determine cyanide exposure takes 24 hours.Two chemists at South Dakota State University have developed a prototype that can detect exposure to cyanide in 70 seconds via a blood sample. The device could save lives, whether it be diagnosing exposure from an industrial fire or a terrorist attack
University of Washington researchers have developed a new injectable polymer that strengthens blood clots, called PolySTAT. Administered in a simple shot, the polymer finds unseen injuries and has the potential to keep trauma patients from bleeding to death before reaching medical care.
In an analysis of about 2,600 hospitalizations for severe sepsis, readmissions within 90 days were common, and approximately 40 percent occurred for diagnoses that could potentially be prevented or treated early to avoid hospitalization, according to a study in the March 10 issue of JAMA.
Scientists will report in a presentation today that they have turned to the opossum to develop a promising new and inexpensive antidote for poisonous snake bites. They predict it could save thousands of lives worldwide without the side effects of current treatments. The presentation will take place here at the 249th National Meeting & Exposition of the American Chemical Society, the world’s largest scientific society.
Obesity is associated with substantial increases in older adults’ hospitalizations, emergency room admissions and use of outpatient health care services, according to a new study of 172,866 Medicare Advantage members throughout the U.S. Results of the one-year study will be presented Thursday at the Endocrine Society’s 97th annual meeting in San Diego.
One-third of the US population does not have access to a primary stroke center within one hour by ambulance, and even under optimal conditions, a large proportion of the US would be unable to access a stroke center within this window, according to a new study published in the March 4, 2015, online issue of Neurology®, the medical journal of the American Academy of Neurology. Stroke is a leading cause of death and disability in the country.
In trauma victims with open fractures, infection rates can be reduced dramatically by administering antibiotics within the first hour of injury. The finding suggests that allowing paramedics to administer antibiotics in the field may substantially improve outcomes.
Houston experienced its hottest summer on record in 2011, resulting in 278 excess emergency department visits per day during the August heat wave, according to research from The University of Texas Health Science Center at Houston (UTHealth) published recently in Environmental Health.
A collaborative study led by scientists from the Mechanobiology Institute (MBI) at the National University of Singapore (NUS) has revealed the mechanical forces that drive epithelial wound healing in the absence of cell supporting environment. This research was published in Nature Communications in January 2015.
In the first study of its kind, a consortium led by UCLA physicians found that paramedics can start medications for patients in the first minutes after onset of a stroke. While the specific drug tested, magnesium sulfate, did not improve patient outcomes, the research has resulted in a new method to get promising treatments to stroke patients quickly.
It’s Friday afternoon and your 20-month-old son is running a fever. He is cranky, refuses to eat, periodically pulls on his ears, and isn’t his usual playful self. Your reaction is ...
People’s perceptions of the cost of a drug may affect how much they benefit from the drug, even when they are receiving only a placebo, according to a new study of people with Parkinson’s disease published in the January 28, 2015 online issue of Neurology®, the medical journal of the American Academy of Neurology.
How can states and federal government provide adequate health care to poor people, without overburdening taxpayers or leaving health care providers with billions in unpaid bills? That thorny problem is especially challenging in the aftermath of a recession and congressional mandates expanding Medicaid eligibility.
Pediatric nurses play a key role in preventing post-traumatic stress in injured children and their families by practicing "trauma-informed care". A new study surveyed pediatric trauma nurses, revealing that they are knowledgeable about practicing trauma-informed care, but need for additional training to help families cope after a child’s injury.
An exhaustive analysis of data from more than 40,000 cases of brain trauma in children – published by the authoritative New England Journal of Medicine – provides convincing evidence that protecting children in advance from head injuries is the key to reducing their severity.
In a two-year longitudinal study involving 13 intensive care units in four U.S. hospitals, researchers found that better physical functioning — basic and complex activities considered essential for maintaining independence — is associated with remission of general anxiety and post-traumatic stress disorder (PTSD) symptoms.
The George Washington University Office for Clinical Practice Innovation launched a podcast series to generate conversation about more efficient, cost-effective health care delivery.
In a sample of U.S. emergency departments, compared to attending physicians alone, supervised visits (involving both resident and attending physicians) were associated with a greater likelihood of hospital admission and use of advanced imaging and with longer emergency department stays, according to a study in the December 10 issue of JAMA, a theme issue on medical education.
In a first-of-its-kind study, researchers in the Center for Injury Research and Policy at Nationwide Children’s Hospital have found that an estimated 3,278,073 children were treated in United States emergency departments from 1990 through 2011 for a toy-related injury.
Eighty percent of kidney dialysis patients surveyed were not adequately prepared in the event of an emergency or natural disaster that shut down their dialysis center. But after receiving individualized education from a multidisciplinary team , 78 percent of these patients had become adequately prepared, according to a study.
A national effort to shave minutes off emergency heart attack treatment time has increased the chance that each patient will survive. But yet the survival rate for all patients put together hasn’t budged. It seems like a paradox. But the paradox vanishes with more detailed analysis of exactly who has been getting this treatment.
Emergency rooms are testing many patients for markers of acute coronary syndrome who show no signs of having suffered a heart attack, UT Southwestern Medical Center researchers have found.
Teens and young adults who get seriously injured in an assault are nearly twice as likely as their peers to end up back in the emergency room for a violent injury within the next two years, a new University of Michigan study finds. The researchers call this repeating pattern of violent injury a reoccurring disease.
PHILADELPHIA –A diagnosis of septic shock was once a near death sentence. At best, survivors suffered a substantially reduced quality of life. Penn Medicine researchers have now shown that while most patients now survive a hospital stay for septic shock, 23 percent will return to the hospital within 30 days, many with another life-threatening condition -- a rate substantially higher than the normal readmission rate at a large academic medical center. The findings are published in the new issue of Critical Care Medicine.
If you're a doctor, nurse, or other healthcare professional accustomed to the long hours and hectic pace of the emergency department, you have your stories to tell. Edwin Leap, MD, award-winning columnist for Emergency Medicine News, tells his stories in his new ebook, Life in Emergistan. Emergency Medicine News is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health.
The excessive activity of repair cells in the early stages of tissue recovery sets the stage for fibrosis by priming the activation of an important growth factor, according to a study in The Journal of Cell Biology.
More than 90 percent of potential pediatric fractures are splinted improperly in emergency rooms and urgent care centers, which can lead to swelling and skin injuries, according to a study by researchers at the University of Maryland School of Medicine. The findings are being presented at the American Academy of Pediatrics (AAP) National Conference & Exhibition in San Diego.
An automated early warning and response system for sepsis developed by Penn Medicine experts has resulted in a marked increase in sepsis identification and care, transfer to the ICU, and an indication of fewer deaths due to sepsis. A study assessing the tool is published online in the Journal of Hospital Medicine.
A third-year medical student at the University of Louisville has led a group of researchers from five universities in determining that bedside ultrasound is cost-effective in pediatric emergency room care.
A decade ago, America’s health care community took on heart attacks with gusto, harnessing the power of research and data to make sure that every patient got the best possible care. It worked. Now, say a pair of University of Michigan Medical School experts, it’s time to do the same for sepsis.
A checklist for trauma and emergency anesthesia, published last year in Anesthesia & Analgesia, has been included in the US Department of Defense's Joint Theater Trauma System Clinical Practice Guideline for trauma anesthesia.
A University of Utah study shows for the first time that continuous infusion benzodiazepines – a class of sedatives that includes lorazepam and midazolam, once considered the standard of care in the ICU – are linked to an increased likelihood of death among patients who receive mechanical ventilation, when compared to the sedative propofol.
It's a simple message: Call 9-1-1 at the first warning signs of a heart attack. Unfortunately, many still choose to either drive to the hospital, or wait to see if the symptoms disappear. New research from the MedStar Heart & Vascular Institute reconfirms relying on emergency medical services helps heart attack patients avoid delays and expedite treatment.
Burn researchers at the University of Michigan Health System examine new approach for treating painful aftermath of war-defining combat injuries.
A possible new treatment for stopping bone growth in soft tissue following third-degree burns may also prove to be beneficial to combat troops suffering high energy orthopaedic trauma or blast injuries, according to an article to appear in Science Translational Medicine, Sept. 24, 2014.
According to the American College of Surgeons’ Committee on Trauma, patients with severe injuries should be treated at level I or level II trauma centers. Those centers have the resources to provide the best care for those patients.
In a new JAMA Internal Medicine article, three leading addiction experts document the need for an addiction medicine specialty, trace the history of physicians specializing in addiction treatment, and discuss current efforts by the American Board of Addiction Medicine and The ABAM Foundation to train and certify physicians, and to become recognized and accredited within the larger medical community.
Doctors at one hospital may be as much as six times as likely to admit an emergency patient with a common non-life-threatening diagnosis to the hospital, compared with doctors at another hospital treating an identical patient. The variation may cost an extra $5 billion dollars a year.
Patients with sepsis, one of the most time-sensitive and hard-to-detect illnesses in medicine, are more likely to survive the life-threatening condition when treated at a hospital that sees a higher volume of sepsis cases. New research from the Perelman School of Medicine at the University of Pennsylvania shows a clear relationship between hospitals that treat the most cases of severe sepsis and lower rates of inpatient deaths among those patients. The study is published online in the American Journal of Respiratory and Critical Care Medicine.
New iPod smart phone app developed by University of Toronto measures frequency of tremors in alcoholics.
Adults who have been hospitalized for a burn as a child experience higher than usual rates of depression and suicidal thoughts, according to new research at the University of Adelaide.
In states where it is legal to use medical marijuana to manage chronic pain and other conditions, the annual number of deaths from prescription drug overdose is 25 percent lower than in states where medical marijuana remains illegal, new research suggests.
Cardiac arrest – an electrical malfunction in the heart that causes an irregular heartbeat (arrhythmia) and disrupts the flow of blood to the brain, lungs and other organs - is a leading cause of death. Each year, over 420,000 out-of-hospital cardiac arrests occur in the United States. When a person has a cardiac arrest, survival depends on immediately getting CPR from someone nearby.
Mice missing two important proteins of the vascular system develop normally and appear healthy in adulthood, as long as they don’t become injured. If they do, their wounds don’t heal properly, a new study shows. The research, at Washington University School of Medicine in St. Louis, may have implications for treating diseases involving abnormal blood vessel growth, such as the impaired wound healing often seen in diabetes and the loss of vision caused by macular degeneration.
More than half of emergency department patients age 65 and older who were seen at UNC Hospitals during an 8-week period were either malnourished or at risk for malnutrition. In addition, more than half of the malnourished patients had not previously been diagnosed, according to a new study by researchers at the University of North Carolina at Chapel Hill.
Gallstone pain is one of the most common reasons patients visit emergency rooms. Figuring out who needs emergency gallbladder removal and who can go home and schedule surgery at their convenience is sometimes a tricky question, and it isn’t always answered correctly.
Wrapping wound dressings around fingers and toes can be tricky, but for burn victims, guarding them against infection is critical. Today, scientists are reporting the development of novel, ultrathin coatings called nanosheets that can cling to the body’s most difficult-to-protect contours and keep bacteria at bay. They’re speaking about their materials, which they’ve tested on mice, at the 248th National Meeting & Exposition of the American Chemical Society, the world’s largest scientific society.
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