Article
Critical Care Medicine
Jeremy K. Lessing, William J. H. Ford, Peter A. Steel, Sunday Clark, Rahul Sharma, John E. Arbo
Summary: Physician-estimated and patient self-reported weights both demonstrated linear correlation with inpatient bed/stretcher scale weights, showing comparable accuracy in guiding initial protocol-based intravenous fluid therapy for emergency department patients with suspected sepsis. Results indicated that both methods were reliable in determining accurate weight estimations for fluid resuscitation.
JOURNAL OF INTENSIVE CARE MEDICINE
(2021)
Article
Emergency Medicine
Sarah Cavallaro, Joshua Easter
Summary: As a new field, there has been a recent surge in evidence on managing children in the emergency department. This review focuses on 10 recent articles that provide relevant evidence for emergency medicine physicians in caring for children. The articles highlight high prevalence conditions like fever and trauma, as well as interventions that can improve mortality such as cardiopulmonary resuscitation and massive transfusion.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2023)
Article
Emergency Medicine
Monique Payne-Cardona, Valerie A. San Luis, Roshanak Aazami, Mira Dermendjieva, Melissa Erin, Jason Kirkwood, Christopher Tong, Gregory Marks, Ethan A. Smith, Sam S. Torbati, James F. Gilmore
Summary: The study showed that expanding the scope of emergency medicine pharmacists significantly reduced major delays in subsequent antibiotic administration for emergency department patients, leading to a decreased incidence of in-hospital mortality.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2021)
Article
Health Care Sciences & Services
Daun Jeong, Gun Tak Lee, Jong Eun Park, Tae Gun Shin, Kyunga Kim, Doeun Jang, Won Young Kim, You Hwan Jo, Sung Phil Chung, Jin Ho Beom, Sung-Hyuk Choi, Woon Yong Kwon, Gil Joon Suh, Byuk Sung Ko, Kap Su Han, Jong Hwan Shin, Hanjin Cho, Sung Yeon Hwang
Summary: This study investigated the impact of changes in emergency department practices due to the COVID-19 pandemic on the clinical outcomes and management of patients with septic shock. Although there were delays in sepsis-related interventions during the pandemic, there was no significant difference in in-hospital mortality between the pre- and post-COVID-19 groups.
JOURNAL OF PERSONALIZED MEDICINE
(2022)
Article
Medicine, General & Internal
Benjamin S. Bassin, Nathan L. Haas, Nana Sefa, Richard Medlin, Timothy A. Peterson, Kyle Gunnerson, Steve Maxwell, James A. Cranford, Stephanie Laurinec, Christine Olis, Renee Havey, Robert Loof, Patrick Dunn, Debra Burrum, Jennifer Gegenheimer-Holmes, Robert W. Neumar
Summary: This study aimed to assess the impact of an emergency department-based intensive care unit (ED-ICU) on the cost of care. The results showed that implementation of the ED-ICU was not associated with a significant change in the inflation-adjusted total direct cost per emergency department encounter, but there was an increase in net revenue and direct margin.
Article
Medicine, General & Internal
Christina Tsou, Suzanne Robinson, James Boyd, Shruthi Kamath, Justin Yeung, Stephanie Waters, Karen Gifford, Andrew Jamieson, Delia Hendrie
Summary: The study aims to examine the impact of consultation with a stroke specialist via telehealth on the effectiveness and cost-effectiveness of stroke and transient ischaemic attack care using a mixed methods approach. A decision tree model will be constructed with input from clinicians and programme managers, with a before and after comparison using state-wide administrative datasets. The drivers of cost-effectiveness will be explored through stakeholder interviews.
Article
Medicine, General & Internal
Beatrice Billur Knoche, Caroline Busche, Marlon Grodd, Hans-Jorg Busch, Soeren Sten Lienkamp
Summary: The study aimed to test the feasibility and effectiveness of implementing a checklist in improving patient care in an emergency department handling internal medicine cases. Results showed that providing crisis checklists significantly increased adherence to critical steps, with participants generally finding the checklists useful and expressing willingness to use them in real life situations.
INTERNAL AND EMERGENCY MEDICINE
(2021)
Article
Emergency Medicine
John M. Litell, Faheem Guirgis, Brian Driver, Alan E. Jones, Michael A. Puskarich
Summary: The majority of patients meeting sepsis criteria in the emergency department were not diagnosed with sepsis at discharge. A significant proportion of nonseptic patients had risk factors for harm from fluid resuscitation.
ACADEMIC EMERGENCY MEDICINE
(2021)
Review
Medicine, General & Internal
Gianluca Tullo, Marcello Candelli, Irene Gasparrini, Sara Micci, Francesco Franceschi
Summary: Sepsis and septic shock are leading causes of in-hospital mortality worldwide, with significant burden on healthcare systems. Ultrasound has been used as an adjunctive tool for the diagnosis and treatment of these conditions, providing valuable information for clinicians. Further research is needed to determine the impact of ultrasound on patient survival.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Public, Environmental & Occupational Health
Ted R. Miller, Mark B. Johnson, James D. Dziura, June Weiss, Kelly M. Carpenter, Lauretta E. Grau, Michael V. Pantalon, Lorien Abroms, Linda M. Collins, Benjamin A. Toll, Steven L. Bernstein
Summary: Americans of lower SES are more likely to use tobacco products and visit emergency departments. This study aimed to estimate the costs per quit of emergency department smoking cessation interventions and compare them with other approaches.
AMERICAN JOURNAL OF PREVENTIVE MEDICINE
(2023)
Article
Anesthesiology
Ingeborg R. Gronlund, Christoffer Gydesen, Thordis Thomsen, Ann M. Moller
Summary: The study investigates how EMS providers experience the influence of critically ill patients' relatives on patient treatment, finding that relatives can either support or challenge treatment, while also impacting EMS providers' clinical decision-making.
BRITISH JOURNAL OF ANAESTHESIA
(2023)
Review
Biology
Gabor Xantus, Balint Kiss, Gyula Molnar, Candice Matheson, Anna Gyarmathy, Peter L. Kanizsai
Summary: For the past quarter century, monitoring lactate levels and/or lactate clearance has been crucial in sepsis management. Recent findings challenge the traditional view of lactic acidosis in sepsis, suggesting that elevated lactate levels may not always be directly related to tissue hypoxia, and could have potential beneficial physiological effects as a normal reaction to adrenergic stress.
Article
Critical Care Medicine
Thomas Lafon, Arthur Baisse, Henry Hani Karam, Alexandre Organista, Marion Boury, Marcela Otranto, Aloise Blanchet, Thomas Daix, Bruno Francois, Philippe Vignon
Summary: The implementation of a new pathway dedicated to septic patients in the emergency department significantly improved early management, organ dysfunction, and outcomes. This improvement was achieved through educational programs, the incorporation of a sepsis alert in the professional software, adherence to severity scores and Surviving Sepsis Campaign bundle reminders, and the dedication of specific rooms for septic patients. Compliance with SSC bundles, organ dysfunction, and short-term mortality rates all showed significant improvement.
Article
Computer Science, Information Systems
Sayon Dutta, Dustin S. McEvoy, David M. Rubins, Anand S. Dighe, Michael R. Filbin, Chanu Rhee
Summary: A study found that the implementation of clinical decision support (CDS) in the emergency department (ED) led to an increase in blood cultures before intravenous (IV) antibiotics administration, indicating that CDS may improve the process of obtaining blood cultures for ED patients.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2022)
Review
Public, Environmental & Occupational Health
Amaya Burgos-Esteban, Vicente Gea-Caballero, Patricia Marin-Maicas, Azucena Santillan-Garcia, Maria de Valvanera Cordon-Hurtado, Elena Marques-Sule, Marta Gimenez-Luzuriaga, Raul Juarez-Vela, Juan Luis Sanchez-Gonzalez, Jorge Garcia-Criado, Ivan Santolalla-Arnedo
Summary: This review examined the application of different Early Warning Score (EWS) systems in outpatient emergency care settings and found that NEWS/NEWS2 is the most suitable tool for screening potentially deteriorating medical emergency outpatients in pre-hospital settings. The study concluded that EWS systems can predict short-term patient mortality and support clinical patient evaluation and medical decision making.
FRONTIERS IN PUBLIC HEALTH
(2022)