All news from Emergency Medicine

Medicaid Under ACA Helped Low-Income Families On ED Visits For Medical Care

New research adds to a growing body of evidence suggesting that the expansion of Medicaid under the Affordable Care Act (ACA) helped low-income families rely less on emergency department visits for medical care.

The study abstract, "Effect of Affordable Care Act Medicaid Expansion on Emergency Department Visits by Uninsured Patients in Illinois 2009-2015," will be presented on Friday, Nov. 2, at the American Academy of Pediatrics (AAP) 2018 National Conference & Exhibition in Orlando, Fla.

Pediatric Readiness In the Emergency Department

The American Academy of Pediatrics, American College of Emergency Physicians, and Emergency Nurses Association have released updated guidelines for emergency care of injured and critically ill children. The guidelines were published in a policy statement in the November issue of Pediatrics.

Researchers revised a joint policy statement from 2009 to highlight recent advances in pediatric emergency care.

New Clinical Practice For Moderate To Severe Traumatic Brain Injury

Millions of children and teens are affected by sports and recreation-related traumatic brain injuries (TBI) annually. To help reduce the effects of TBIs in youth sports, all 50 states and the District of Columbia enacted state youth TBI laws between 2009 and 2014.

A new study from the Center for Injury Research and Policy at Nationwide Children's Hospital examined the effectiveness of these laws by looking at sports and recreation mild TBI (mTBI) -related emergency department (ED) visits for children ages 5 to 18 years before and after TBI legislation was enacted in each state.

Specifically, the researchers looked at the EDI visits from 2006 through 2014 for diagnosis of mTBI and compared them with diagnoses of moderate to severe TBI, minor head injury, and long bone fracture. The study was published in the Journal of Head Trauma and Rehabilitation.

Emergency departments in 'crisis' as mental health patients left waiting

The emergency worker remembers when the "young and proud" Aboriginal man in his 20s was brought into the emergency department by his father. He was agitated and upset, He said he wanted to kill himself but he would not engage with us any further."

The man was seen by the psychiatry team and admitted as an involuntary patient. There were no beds available, and I was to stay in the ED until one became available. On his second day in the ED, I managed to escape.