Academic Emergency Medicine Journal

Use of ED Critical Care Consult teams may reduce need for ICU admission by 14% and increase Critical Care billings in the ED. A win for patients and the system! Read more in this study from @MICUnerd

#AEM #EM

The 10 research questions identified from this modified Delphi study inform future work by researchers, funders, policy makers, and other key decision makers who aim to meaningfully advance the management of pain in children cared for in the emergency care setting.

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New study from Dr. Acharya enhances Geriatric Trauma Outcome Score (GTOS) with improved clinical utility using Net Benefit & Decision Curve Analysis.

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This study from Dr. Yasuda, using data from 95 hospitals in Japan, highlights the critical role of timely administration in improving 30-day neurological outcomes and survival rates for patients with OHCA and non-shockable rhythms.
#AEM #EM #CPR #Epinephrine

This study by @JustinBrooten, @DrJSpeiser showed that initial labs and vital signs in the ED could identify over 80% of patients who later died during hospital admission. Early assessment can further support earlier provision of palliative care in appropriate cases.
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This study from Dr. Arnold found that few children with blunt torso trauma and one or two PECARN predictor variables present have intraabdominal injury. Those with GCS score <14, however, are at highest risk for intraabdominal injury.

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These narratives from Dr. Gutman demonstrate ways in which experienced racism, both past and present, may inform how parents receive and respond to gaps in PCC and offers perspectives to promote health equity.

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In a prospective cohort study of 280 gender minority ED patients, we found that more than 1 in 3 experienced a suicide attempt prior to the ED visit. The identified risk and protective factors inform ED efforts to detect and reduce suicide risk in this population.

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CRISPE, a new CDI in a study from Dr. Harrison, was developed and internally validated while MELD variants were externally validated to predict 14- day and 30- day mortality in cirrhosis patients presenting to the ED.

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A standardized sepsis orderset was associated with decreased racial disparities in antibiotics timing and mortality in this study from. Dr. Hunter.

#AEM #EM #Sepsis

This letter to the editor from Dr. Nakahara describes how the private‐sector “auxiliary EMS” model is complementing formal EMS in Japan.
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Check out the latest Brass Tacks: Concise Reviews of Published Evidence which focuses on Endovascular Therapy for Acute Vertebrobasilar Occlusion Stroke.
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Findings from this research letter by @ulahwang and team indicate an opportunity in the ED for early recognition and detection of patients at risk for undiagnosed dementia or mild cognitive impairment.
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The first paediatric ED mental health Delphi study has been conducted in Australia. We have identified important research themes and data points which can be reviewed in this paper from @DrSimonCraig and team.
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ED discharge planning laws may increase linkage to outpatient mental health care, but additional measures are needed to sustain that linkage to care. Read more in this study from Dr. Choo.
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New AI research from University of Pittsburgh and Dr. Weidman shows that we can predict prehospital lifesaving interventions via NLP and ML algorithms.
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Check out this study from Dr. Johnson which looking into testing a method for measuring if the perspectives and demographic of parents enrolled in a clinical trial with an exception from informed consent were the same as those who were consulted in the public.
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ED-initiated oral naltrexone shows promise for treating Alcohol Use Disorder, improving cravings & quality of life. Find out all the details in this study from Dr. Cowan. More research needed! #AddictionMedicine #EmergencyCare
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Read the @AcademicEmerMed Special Issue on the Science of Errors in Emergency Care, curated by EiC @klinelab and special editors Richard T. Griffey, Brandon C. Maughan and Margaret E. Samuels-Kalow. Also made possible by @AHRQNews contract to @SAEMonline onlinelibrary.wiley.com/toc/15532712...

Public comments on AHRQ ED Error Report included both personal patient tales of error and nuanced understanding of ED care challenges in this qualitative study from Timothy Sanford.

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Low STI testing and treatment rates and high STI positivity identified in this study from Dr. Tao suggest an important opportunity exists for improving STI screening and presumptive treatment for female patients presenting to the ED after SA.

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Documentation and disclosure of incidentally noted hepatic steatosis for patients within the emergency department may only occur in up to 14.3% of encounters. Learn what may contribute in this recent study from Dr. Kontrick.

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Discover how NLP can reduce diagnostic errors by detecting incidental lung nodules in ED CT scans and improving follow-up by reading this recently published research from Dr. Moore.

#AEM #EM #AI #NLP

The knowledge that triage nurses have about other nurses has a considerable influence on the way in which they carry out triage. Find out more by reading this research letter from Dr. Pelaccia.

#AEM #EM #Triage

1 in 5 #pregnant patients thought to have #pulmonaryembolism initially declined advanced imaging in this @KPDOR @kpnorcal @PermanenteDocs study.

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Daughter of Deaf parents leads study in @AcademicEmergMed on ER communication barriers for Deaf & hard-of-hearing patients. Read on for insights to improve emergency care.
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Dr. Mahajan provides this recent study looking to investigate diagnostic errors in pediatric emergency departments using electronic triggers.

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This study from Dr. Wing demonstrates that non-clinically trained personnel help reduce disparities and overall left without being seen rate. Read more by following the QR code below.

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Clinician diagnostic accuracy for sepsis is reduced by age and severity of illness (SoI), but tends towards over- rather than under-diagnosis. Missed diagnoses were associated with delays in antibiotics but not mortality. Read more in this study from Dr. Puskarich.

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Review the lastest Brass Tacks, concise reviews of published evidence, which dives into the realm of corticosteroids for community-acquired bacterial pneumonia. Article written by Dr. Kalantari

#AEM #EM #Pneumonia