Emergency Live

JUNE 20, 2024

A Critical Situation India has been struck by a wave of extreme heat, reaching record temperatures in several cities, including New Delhi, which recorded 52.3°C, surpassing the historic measurement of 50°C. This phenomenon is just one of the symptoms of the climate crisis gripping the subcontinent, influenced by the global phenomenon of El Niño. The […] The post Extreme Heat in India: Climate Crisis Hits Hard appeared first on Emergency Live.

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St. Emlyn

JUNE 20, 2024

St.Emlyn's - Emergency Medicine #FOAMed Learn about Sudden Arrthymic Death Syndrome in children. Listen to the podcast recorded live at the Premier Conference 2024. The post Podcast – Sudden Cardiac Death Syndrome appeared first on St.Emlyn's.

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Science Based Medicine

JUNE 20, 2024

Amazon has implemented new quality standards for some dietary supplements. The post Amazon goes where the FDA does not first appeared on Science-Based Medicine.

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EM Ottawa

JUNE 20, 2024

This case report demonstrates the utility of point-of-care ultrasound (POCUS) to identify complicated gallbladder disease. In this case, the patient presented with abdominal pain and a known history of cholelithiasis. POCUS demonstrated signs of small bowel obstruction and subsequently guided the decision to pursue radiology-performed imaging. Subsequently, the rare complication of Bouveret syndrome was identified. […] The post A Rolling Stone Without a Home: Bouveret Syndrome on PoCUS ap

Radiology 66

Radiology Radiology Ultrasounds Infectious Diseases 66

NRC Health

JUNE 20, 2024

NRC Health’s vast expertise in CAHPS and our innovative methods provide healthcare organizations with the necessary tools and insights to deliver exceptional care and craft long-term patient experience strategies. The post Incorporate HCAHPS changes into your patient experience strategy appeared first on NRC Health.

Leadership 64

Leadership 64

Emergency Medicine Journal

JUNE 20, 2024

Introduction With the rising use of immune checkpoint inhibitors ( ICIs ) in oncology, emergency physicians are increasingly confronted with their immune-related adverse events ( irAEs ). We described the types of irAEs presenting to the ED of a Belgian cancer centre and determined associations with the development of an irAE and other patient’s characteristics.

Outcomes 70

Outcomes Emergency Department 70

NRC Health

JUNE 20, 2024

“My passion for improving the patient experience was ignited almost two decades years ago,” Jackie said. With her career at NRC Health spanning nearly 20 years, Jackie is passionate when she talks about her role. As a mother, sister, daughter, friend, youth baseball fan, avid traveler, and volunteer she says she—like every person—is not just one role in life.

Leadership 59

Leadership 59

Emergency Live

JUNE 20, 2024

Future Ambulances: Cutting-Edge Technologies to Save Lives European ambulances are undergoing a true technological revolution with the introduction of new state-of-the-art systems that enhance response capabilities and the quality of care provided to patients. These innovations are transforming ambulances from mere transportation vehicles into mobile units for diagnosis and emergency assistance.

Telemedicine 52

Telemedicine 52

Ziqitza HealthCare Ltd

JUNE 20, 2024

A common bacterial infection among children and adolescents of ages 5 to 15, strep throat largely affects the throat and tonsils. It is also known as streptococcal pharyngitis. It manifests as a throat infection with inflammation, causing a scratchy and itchy throat and intense pain. Some people describe it as having razor blades stuck down in their throat, with difficulty swallowing.

Ambulance Services 52

Ambulance Services 52

Emergency Live

JUNE 20, 2024

Health Risk Heatstroke is a serious medical condition that occurs when the body cannot regulate internal temperature due to extreme heat. This risk is particularly high for individuals with pre-existing medical conditions such as cardiovascular, respiratory diseases, or diabetes, as well as for the elderly and children. High temperatures can cause mild disorders like cramps […] The post Heatstroke: Risks and Interventions appeared first on Emergency Live.

Wellness 52

Wellness 52

ETM Course

JUNE 20, 2024

ETM is pleased to announce the launch of the new, free, FOAMed toxicology blog and podcast at www.toxcourse.com. This new resource has been launched to provide anyone interested in emergency toxicology a resource to learn more about the practical aspects of treating tox patients in the ED. It’s early days, but we plan over time to really boost the content so you can access a range of tox content for free, with much more premium Tox Course content featuring short video lectures, ACEM fell

Poisoning 52

Poisoning 52

Emergency Live

JUNE 20, 2024

Mosquitoes: Vectors of Deadly Diseases Mosquitoes are much more than a mere annoyance during summer or nighttime. They are carriers, or vectors, of some of the deadliest diseases for humanity. It is estimated that nearly 700 million people worldwide, with over a million deaths each year, are affected by diseases transmitted by mosquitoes. Major Diseases […] The post Mosquitoes: an insidious and deadly danger appeared first on Emergency Live.

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ETM Course

JUNE 20, 2024

We’re posting this as a shout out to Andrew Petrosoniak and Chris Hicks from Advanced Performance , and Mark Bonta from Ditch The Labcoat podcast. This is a fantastic interview with some really interesting insights on trauma team leadership from a couple of the world leaders in this space. It’s reassuring to hear that much of what we teach on ETM (task specific role allocation, labels, pre-brief, synthesis, communication) is reflected in their practice.

Leadership 53

Leadership Resuscitation 53

PulmCCM

JUNE 20, 2024

Dapaglifozin is the sodium-glucose cotransporter 2 (SGLT-2) inhibitor sold as Farxiga™ by AstraZeneca and Bristol Myers-Squibb. SGLT-2 inhibitors improve diabetes by causing the kidney to excrete excess glucose, which led to their FDA-approved indication for diabetes management.

Outcomes 40

Outcomes 40

Emergency Live

JUNE 20, 2024

Clothing combines maximum biological protection with unparalleled comfort levels, helping frontline responders to stay safe and focus on their frontline roles DuPont (NYSE: DD) has launched the DuPont™ Tyvek® ES workwear range to offer emergency services personnel and patients the highest levels of protection against biological risks, paired with exceptional fit.

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Emergency Medicine Journal

JUNE 20, 2024

The CRYOSTAT-2 randomised controlled trial (RCT), published in JAMA 1 in October 2023, is the largest transfusion trial to date in major trauma haemorrhage. In this international study across all major trauma centres in the UK and one Level 1 centre in the USA, 1604 bleeding trauma patients were enrolled to receive either standard of care resuscitation (STD), or the early empirical administration of a high dose (three pools) of cryoprecipitate (CRYO) in addition to standard of care.

Administration 40

Administration Resuscitation Outcomes 40

Emergency Medicine Journal

JUNE 20, 2024

The Royal College of Emergency Medicine Toxicology Special Interest Group in collaboration with the UK National Poisons Information Service and the Clinical Toxicology Department at Guy’s and St Thomas’ NHS Foundation Trust has produced guidance to support clinicians working in the ED with the assessment and management of adults with acute opioid toxicity.

Best Practices 40

Best Practices Emergency Department Poisoning 40

Emergency Medicine Journal

JUNE 20, 2024

Editor’s note: EMJ has partnered with the journals of multiple international emergency medicine societies to share from each a highlighted research study, as selected by their editors. This edition will feature an abstract from each publication.

Research 40

Research 40

Emergency Medicine Journal

JUNE 20, 2024

Introduction This month’s update is from the Emergency and Major Trauma Departments at Salford Care Organisation, within the Northern Care Alliance NHS Foundation Trust. We used a multimodal search strategy, drawing on free open-access medical education resources and focused literature searches. We identified the five most interesting and relevant papers (decided by consensus, with editorial oversight) and highlight the main findings, key limitations and clinical bottom line for each paper

Sepsis 40

Sepsis Trauma Department Outcomes Hospitals 40

Emergency Medicine Journal

JUNE 20, 2024

Background Mechanical thrombectomy for stroke is highly effective but time-critical. Delays are common because many patients require transfer between local hospitals and regional centres. A two-stage prehospital redirection pathway consisting of a simple ambulance screen followed by regional centre assessment to select patients for direct admission could optimise access.

Stroke 40

Stroke Hospitals 40

Emergency Medicine Journal

JUNE 20, 2024

Clinical introduction A girl aged 5 years presented to the ED with oral wounds after putting the end of a low-voltage (110 V) household appliance electrical cord in her mouth. She felt an immediate burning pain in her mouth and circumoral numbness. She had tongue protrusion and drooling, with normal observations. The burn can be seen in figure 1. Question For oral electrical burns which statement is correct: Systemic complications are common.

Burns 40

Burns Wellness 40

Emergency Medicine Journal

JUNE 20, 2024

Background Colorectal cancer (CRC) is the second leading cause of cancer-related deaths worldwide. Emergency departments (ED) represent a promising setting to address preventive health measures like CRC screening. Objectives The current study adapted an existing cervical cancer screening intervention for use in catalysing CRC screening. We evaluated feasibility of identification, provided preliminary effect size estimates and documented participant acceptability.

Emergency Department 40

Emergency Department Documentation/Coding Outcomes 40

Emergency Medicine Journal

JUNE 20, 2024

The impact of trauma care system implementation has largely and traditionally focused on demonstrating its potential to reduce injury-related mortality. 1 In their EMJ paper, Bath et al report the results of a systematic review of comparator study types published since 2000 that investigated the impact of organised trauma systems on morbidity, quality of life and economic outcomes. 2 The study screened 8181 articles and found only 7 addressing this important issue.

Outcomes 40

Outcomes 40

Emergency Medicine Journal

JUNE 20, 2024

Background Trauma accounts for a huge burden of disease worldwide. Trauma systems have been implemented in multiple countries across the globe, aiming to link and optimise multiple aspects of the trauma care pathway, and while they have been shown to reduce overall mortality, much less is known about their cost-effectiveness and impact on morbidity.

Outcomes 40

Outcomes 40

Emergency Medicine Journal

JUNE 20, 2024

Background Analgesia is an important component for patient well-being, but commonly delayed during trauma resuscitation. The Pharmacists in Trauma trial assessed the effects of integrating pharmacists into trauma response teams to improve analgesia delivery and medication management. Methods This unblinded randomised trial compared emergency medicine (EM) pharmacist involvement in trauma callouts versus standard care at an Australian level 1 trauma centre.

Resuscitation 40

Resuscitation EMS Outcomes Hospitals 40

Emergency Medicine Journal

JUNE 20, 2024

Background Reductions in local government funding implemented in 2010 due to austerity policies have been associated with worsening socioeconomic inequalities in mortality. Less is known about the relationship of these reductions with healthcare inequalities; therefore, we investigated whether areas with greater reductions in local government funding had greater increases in socioeconomic inequalities in emergency admissions.

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Emergency Medicine Journal

JUNE 20, 2024

The associations between where you live and your health outcomes are increasingly understood. Healthy life expectancy is more than 18 years lower for people living in the most deprived areas compared with the least deprived. 1 Some of this, but certainly not all, is related to the quality of your healthcare. In 2020, Quality Watch, a joint venture funded by the Nuffield Trust and the Health Foundation, found that long waits for emergency care were greater in the most deprived areas. 2 They also

Outcomes 40

Outcomes 40

Emergency Medicine Journal

JUNE 20, 2024

Health inequalities EDs are increasingly a good barometer of pressure across the NHS and the health of the nation. Austerity measures introduced in the UK in 2010 following the 2008 recession resulted in major changes and, in some cases, significant cuts to healthcare funding. It comes as little surprise that these measures have hit the poorest hardest with cuts in the most deprived boroughs resulting in higher rates of all and avoidable emergency admissions.

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Emergency Medicine Journal

JUNE 20, 2024

Background Increasing life expectancy in high-income countries has been linked to a rise in fall mortality. In the Netherlands, mortality rates from falls have increased gradually from the 1950s, with some indication of stabilisation in the 1990s. For population health and clinical practice, it is important to foresee the future fall mortality trajectories.

Hospitals 40

Hospitals Wellness 40