Review
Medicine, General & Internal
Anisa Jabeen Nasir Jafar, Wisam Jalal Jawad Jafar, Emma Kathleen Everitt, Ian Gill, Hannah Maria Sait, Jacinta Tan
Summary: Compared to other mental health conditions, eating disorders may seem relatively rare in emergency departments. However, they have the highest mortality rate in mental health, with high rates of medical complications and risks. People with eating disorders often do not disclose their diagnosis to healthcare professionals due to denial, avoidance of treatment, or stigma. As a result, their diagnosis can be easily missed and the prevalence underestimated. This article provides a new perspective on eating disorders for emergency and acute medicine practitioners, focusing on the most serious acute pathology, indicators of hidden disease, screening, acute management considerations, and the challenge of mental capacity in high-risk patients who can recover with proper treatment.
POSTGRADUATE MEDICAL JOURNAL
(2023)
Article
Health Care Sciences & Services
Sameer Sundrani, Julie Chen, Boyang Tom Jin, Zahra Shakeri Hossein Abad, Pranav Rajpurkar, David Kim
Summary: In this study, a multimodal machine learning approach was developed to predict the onset of new vital sign abnormalities in emergency department patients with normal initial vital signs. The method combines standard triage data with features derived from continuous physiologic monitoring, achieved through conventional signal processing and deep learning techniques. The models outperformed those using only standard triage data in predicting new tachycardia, hypotension, and hypoxia, demonstrating the potential to improve triage and predict clinical deterioration.
NPJ DIGITAL MEDICINE
(2023)
Article
Emergency Medicine
Sean Patrick Nordt, John M. Ryan, Daniel Kelly, Abdubadie Kutubi, Renad Saleh, Caitriona Quinn, Tariq Al Kharusi, Eoin J. Tiernan
Summary: This study aims to identify and assess the frequency of presenting complaints, primary diagnosis, triage acuity, and need for admission among palliative care patients in an Irish setting. The findings can help minimize unnecessary emergency department visits and improve patient care and quality of life.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2023)
Article
Emergency Medicine
Brit Long, William J. Brady, Alin Gragossian, Alex Koyfman, Michael Gottlieb
Summary: Cardiac transplant is an effective therapy for end-stage heart failure, but patients may experience complications such as graft failure, rejection, infection, and dysrhythmias. Additionally, patients with acute coronary syndrome can have atypical presentations, requiring comprehensive evaluation and management by healthcare professionals.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2021)
Article
Surgery
Derek D. Berglund, Tara McGraw, Alexandra Falvo, Voranaddha Vacharathit, Mustapha Daouadi, David Parker, Anthony Petrick
Summary: This study examined ED utilization following minimally invasive foregut surgery and its impact on costs. The majority of ED visits occurred early postoperatively and were more likely related to surgery. More than one-third of surgery-related ED visits were preventable, and most occurred during clinic hours on weekdays.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Management
Jeffery S. Smith, Jeff Shockley, Sidney Anderson, Xiaojin (Jim) Liu
Summary: Healthcare providers are expected to compete in financial productivity and patient experience. This study explores how emergency departments can improve efficiency and care quality by managing patient flow stages, specifically focusing on the value of physician-directed evaluation time.
Article
Multidisciplinary Sciences
Nicholas M. Mohr, Anusha Krishnadasan, Karisa K. Harland, Patrick Ten Eyck, William R. Mower, Walter A. Schrading, Juan Carlos C. Montoy, L. Clifford McDonald, Preeta K. Kutty, Elisabeth Hesse, Scott Santibanez, David N. Weissman, Patricia Slev, David A. Talan
Summary: The risk of SARS-CoV-2 infection was similar for unvaccinated U.S. emergency department healthcare personnel compared to nonclinical staff and healthcare personnel engaged in direct patient care. Many identified risk factors were related to community exposures.
Article
Emergency Medicine
Adriana Coleska, Andrew Oh, Craig Rothenberg, David Dinh, Vivek Parwani, Arjun K. Venkatesh
Summary: Pain management is a crucial part of emergency department visits, often involving the use of intravenous opioids. However, discrepancies between ordered doses and stock vial doses can lead to wastage and increased risk of incorrect dosing and drug diversion. This study examines the magnitude of morphine and hydromorphone waste in emergency departments and explores the effects of cost versus waste minimization in purchasing decisions.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2023)
Article
Business
Alessandro Stefanini, Davide Aloini, Peter Gloor, Federica Pochiero
Summary: The study found that patient satisfaction and service perceptions are significantly influenced by the behavior and communication networks of healthcare providers. Patients value physical proximity and continuous monitoring of their health conditions by doctors and providers, as well as desire to actively participate in the communication network. Additionally, patients perceive positively when doctors lead the communication network within teams for more effective conversations.
JOURNAL OF BUSINESS RESEARCH
(2021)
Article
Emergency Medicine
Bertram K. Woitok, Svenja Ravioli, Georg-Christian Funk, Gregor Lindner
Summary: The proportion of elderly people aged 65 and above in Switzerland is increasing, with those aged 90 and above identified as having higher risk of mortality. Factors such as polypharmacy, hyponatremia, and high comorbidity burden contribute to longer hospital stays. Advanced age and high comorbidity burden are associated with placement in nursing facilities for elderly patients.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2021)
Review
Emergency Medicine
Kelly Johnson-Arbor, Richard Verstraete
Summary: Anemia is a common condition in emergency medicine, and some patients may refuse blood transfusion due to medical or religious reasons. Physicians in the emergency department need to be aware of bloodless medicine treatment options and focus on strategies to reduce blood loss and enhance red blood cell production for optimal outcomes in anemic patients.
ANNALS OF EMERGENCY MEDICINE
(2022)
Article
Clinical Neurology
Christopher Figueroa, Amir Hadanny, Kyle Kroll, Marisa DiMarzio, Kainat Ahktar, Michael Gillogly, Dorothy Mitchell, Theodore Cangero, Julie G. Pilitsis
Summary: This study compared emergency department (ED) utilization rates between chronic pain patients with and without neuromodulation (NM). The results showed that patients who underwent NM had fewer visits to the ED. Younger age, shorter distance to the hospital, lower household income, opioid use, and non-receipt of NM were significant predictors of ED visits.
Article
Health Care Sciences & Services
Marlena Robakowska, Anna Tyranska-Fobke, Katarzyna Pogorzelczyk, Joanna Synowec, Daniel Slezak, Piotr Robakowski, Patryk Rzonca, Pawel Predkiewicz
Summary: The study aimed to investigate the impact of the COVID-19 pandemic on emergency department utilization patterns in Poland. It found that age and gender have significant influences on the occurrence and hospitalization time of mental illnesses or disorders among COVID-19 positive patients. The study also emphasized the importance of providing treatment for cardiovascular, mental health, oncological, and other diseases to uninfected patients during the pandemic.
Article
Medicine, General & Internal
Mei-Chen Liao, Cheng-Chang Yen, Yuh-Te Lin, Fong-Dee Huang, Yun-Te Chang
Summary: This study investigated the associations between mortality, emergency department re-visits, and geriatric syndrome-related illnesses among older adults who visited the ED. The results showed that older adults with possible sarcopenia had a higher mortality rate. This suggests that initial screening for sarcopenia and relevant risk factors among older adults in the ED may help improve their prognosis.
FRONTIERS IN MEDICINE
(2023)
Article
Medicine, General & Internal
Renee Y. Hsia, Stefany Zagorov, Nandita Sarkar, Michael T. Savides, Madeline Feldmeier, Newton Addo
Summary: The health care system in California has undergone major changes in the past decade, leading to worsened emergency department crowding. This study analyzed the patterns in ED capacity and utilization in California hospitals from 2011 to 2021, finding that the capacity did not proportionally increase with the increasing demand for services. The COVID-19 pandemic also had a substantial impact on these patterns.