All news from Emergency Medicine

Surveillance And Autopsy Characterization of Sudden Cardiac Death

Researchers identified all incident deaths attributed to out-of-hospital cardiac arrest (patients between 18 and 90 years of age in San Francisco County) based on autopsy, toxicology, and histology via medical examiner surveillance of consecutive out-of-hospital deaths.

A large percentage of deaths attributed to cardiac arrest is neither sudden nor unexpected. Deaths were assessed using the World Health Organization (WHO) criteria for sudden cardiac death(SCD), and the death certificates were reviewed for missed cases of SCD. The study was published in Circulation.

Hospital EDs Are Used For Emergency Heathcare

Hospitals have seen record demand for care over recent days as the winter season takes full effect, with 2600 people presenting at EDs last week compared with 2450 at the same time last year, adding 150 patients to what was already a very busy period. Chief Medical Officer Dr. Andrew Brant says heavy demand for inpatient hospital care makes it all the more important that hospital resources are prioritized toward those in greatest need.

Emergency Departments Overwhelmed By Patients

District Health Boards around the country are struggling more than ever to meet the Ministry of Health's target of getting 95% of patients through emergency departments in six hours. MidCentral DHB reported just 82% of patients over the six months to the end of June were admitted or discharged within the target time. For the same period last year, it was 89.5%.

MidCentral DHB spokeswoman Lyn Horgan said an increase in the number of people presenting at the Palmerston North Hospital emergency department was partly to blame. The predicted presentation rate to any ED is expected to increase by 1% every year; this year there has been a 4% increase for MidCentral.

Mortality Due To Trauma And Non-Trauma At The ED

Researchers investigate mortality due to trauma and non-trauma at the emergency department of Rajiv Gandhi Government General Hospital (RGGGH) has dropped. Accident and emergency protocols that were rolled out on a pilot basis in January 2018 have streamlined emergency care, reducing delay in attending to patients, through triaging and prompt initiation of investigations and treatment.

Association Between Physical Therapy And ED Revisits for Older Adults

Falls are the leading cause of illness and death among Americans aged 65 and older. In 2014, some 2.8 million older adults visited the emergency department (ED) for a fall-related injury. And over time, the ED visit rate for falls among older adults has grown to 68.8 per 1,000 older adults (as of 2010).

Older adults who visit the ED for a fall are at high risk for both revisiting the ED and dying. In fact, some estimates show that 25 percent of older adults visiting the ED for a fall returned for at least one additional fall-related visit. Fifteen percent of those older adults died within the following year.

Complex Drugs For Detecting And Treating Patients At ED

The objective of the study, which began in 2016, was to identify illicit drugs that caused overdoses in patients at two hospital emergency departments in Maryland. At a time when drug overdoses are becoming more prevalent and lethal, a new report provides a snapshot of regional illicit drug use and, for the first time, highlights the complexity of detecting and treating patients at hospital emergency departments for a severe drug-related event.

Drug Overdoses

Emergency physicians were battling a spike in accidental drug overdoses and related deaths thought to be linked to a group of designer drugs called synthetic cannabinoids that mimic the chemicals in marijuana, known on the street as Spice or K2.

One doctor described "atypical overdoses," patients with breathing difficulties and constricted pupils who responded well to the opioid overdose-reversing drug naloxone, and then required sedation for acute agitation, violence, and hyperactivity, all unrelated to opiate withdrawal.

Reducing Hospital Emergency Admissions Is Target For All Modern Health Systems

According to a study, the researchers analyzed hospital admissions data for around 65,000 patients diagnosed with bowel cancer between 2011-2013 in the first study of its kind in the UK. Bowel cancer patients living in the most deprived areas have up to 13% higher proportions of emergency hospital admissions before a diagnosis than patients living in the least deprived areas.

The study was published in the British Journal of Cancer, reveals that among the 8,681 patients who died between three and 12 months after a diagnosis, around two thirds (5,809) had an emergency hospital visit before dying. This was around 5% higher among those from more deprived backgrounds.

Life-Saving Technique Is Oxygen Treatment In Emergency Room

Oxygen treatment is often life-saving, but multiple studies in recent years have yielded evidence that the indiscriminate administration of oxygen to patients in the intensive care unit and emergency room can cause hyperoxia and thereby elevate mortality.

Oxygen Treatment in Intensive Care and Emergency Medicine

In emergency situations, oxygen therapy can be life-saving for patients with hypoxemia, but harmful effects of exposure to high oxygen concentrations (oxygen toxicity) have long been known. Within a few years of the introduction of oxygen therapy, the issue of potential oxygen toxicity was raised. 

Avatar App Applications In Emergency Care

An avatar-based application (app) can teach patients to recognize symptoms of heart attack and call emergency, according to a study presented today at EuroHeartCare 2018, the European Society of Cardiology's annual nursing congress. Patients using the app were more likely to call an ambulance when they had symptoms and had fewer hospital admissions.