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UrduLittle is known about the association between the frequency of alcohol use and the severity of injuries sustained after a fall in older adults. A study of 3,128 older adults who underwent an initial head CT scan in the emergency department after head trauma from a fall shows that occasional alcohol use was associated with double the odds of a brain bleed when compared to patients with no alcohol use. Daily alcohol use was associated with 150% increased odds of a brain bleed.
Tag: Emergency Department
Study Challenges ED Protocols for Geriatric Head Injuries and Blood Thinners
Out of 3,425 patients enrolled in the study, 0.4% (13 patients) experienced a delayed intracranial hemorrhage, a significantly lower rate than previously reported (7.2%).
ER patient portal usage increasing, study shows
More people are using online patient portals to view their information while in the emergency room, but access is challenging for members of medically underserved communities and the elderly, UT Southwestern Medical Center researchers and national colleagues found in a new study.
Homelessness a Major Issue for Many Patients in the Emergency Department
Housing insecurity is an issue for 1 in 20 patients who go to emergency departments at major medical centers in the Southeast, according to a Vanderbilt University Medical Center (VUMC) study published in JAMA Network Open.
Flu-Vaccine Education in the Emergency Department Helps People get their Shot
Patient education about flu shot during a non-life threatening emergency department visit increases vaccination rates, especially in patients without regular primary care.
Emergency Departments Saw Firearm Injuries in Children Double During Pandemic
Pediatric Emergency Department (ED) visits for firearm injuries doubled during the pandemic compared to earlier trends, according to a multicenter study published in the journal Pediatrics.
VUMC receives $7 million award from PCORI to compare breathing tube sedation
Vanderbilt University Medical Center has received a $7 million, five-year funding award from PCORI (Patient-Centered Outcomes Research Institute) to compare two sedatives used to place breathing tubes in the emergency department (ED) or intensive care unit (ICU). To provide support with a breathing machine, doctors must place a breathing tube into a patient’s mouth and throat, and they are given a medication to make them sleep during this procedure.
Caring for the Community During the Next Pandemic
Later this summer, staff members at Cedars-Sinai Marina del Rey Hospital will spring into action when a pretend patient comes to the Emergency Department with symptoms of a virus like Ebola, one of the deadliest, most infectious diseases on the planet.
‘Concerning’ CT scans may cause unnecessary hospitalization for some pulmonary embolism patients
Some pulmonary embolism patients may be hospitalized unnecessarily due to CT imaging results rather than clinical risk factors, a study finds. Roughly half of the low risk patients had CT imaging features that physicians consider “concerning”, and these patients fared just as well in the hospital as those whose CT scans showed no concerning findings.
Men Over 65 Are at Greater Risk than Women of Skull Fractures from Falls
Because females 65 and older have an increased rate of falls and facial fractures, researchers compared the risk of skull fracture secondary to head trauma in geriatric female and male patients. Results showed that males had a significantly increased incidence of skull fracture secondary to head trauma, due mostly to falls. This outcome was unexpected, as previous research has indicated females are more susceptible to facial fractures. This trend also was seen across race/ethnicity, though results were only statistically significant for whites.
Cost concerns keep older adults from seeking emergency care
Worries about what emergency care might cost them have kept some older adults from seeking medical attention even when they felt they might need it, a new study shows. In all, 22% of older adults who may have needed care from the emergency department didn’t go because of concerns about what they might have to pay.
Mount Sinai First in Region Offering Telehealth Visits for Low-Acuity 911 Ambulance Calls
Unique program keeps patients with less severe conditions out of the Emergency Department, saving them time and money
Mental health, substance use issues prevalent among nonpsychiatric emergency room patients
A new study found that about 45% of patients who visit the emergency department for physical injuries and ailments also have mental health and substance use problems that are often overlooked.
An emergency in U.S. emergency care: Two studies show rising strain
Despite decades of effort to change emergency care at American hospitals and cope with ever-growing numbers of patient visits, the system is showing increasing signs of severe strain, according to two new studies of patients leaving without being seen or waiting in emergency department for hours for a hospital bed.
When Catastrophe Strikes, ‘Think Aorta’
Vascular and cardiac surgeons in the Smidt Heart Institute at Cedars-Sinai know all too well the danger that looms when a patient experiences a tear in their heart’s main artery, called an aortic dissection. The condition, however, is often mistaken by patients—and even some physicians and nurses—for a heart attack, which can delay diagnosis and subsequent lifesaving surgery.
Bike Helmets: Finding the Right Fit For Your Child
Follow these tips to make sure your child’s helmet is safe. A bike helmet can literally be a lifesaver for a child—dramatically reducing the chances of a head or brain injury from a bike, scooter or skateboard accident. But did you know that a helmet has to fit right to do its job? If it’s too small, too loose, or not positioned correctly, it may not protect your child.
From Water Sports to Biking: Here’s How to Keep Your Child Safe During the Summer
Summer means fun in the sun, beach outings, swimming pools, and outdoor adventures like camping, hiking, bicycling and skateboarding. What also comes is an increased risk for injuries—and an increased need for awareness. Experts at Children’s Hospital Los Angeles and the Safety and Injury Prevention Program have compiled a list of helpful guidelines to ensure that you and your family have an enjoyable and safe summer.
Fireworks Safety: Tips for Parents
Fireworks can be fun, festive—and very dangerous. Here’s are tips on howto keep your family safe. Fireworks have long been a popular part of the Fourth of July. But while fireworks are bright and festive, they can also be dangerous—for children, teens and even adults. According to SafeKids Worldwide, more than 3,000 children under the age of 15 are sent to emergency departments each year in the U.
Children’s Mental Health Visits to Emergency Departments Increased During COVID-19 Pandemic
In the Chicago area, pediatric mental health Emergency Department (ED) visits increased 27 percent at the onset of the COVID-19 pandemic, followed by a 4 percent increase monthly through February 2021, according to a study from Ann & Robert H. Lurie Children’s Hospital of Chicago published in the journal Academic Pediatrics. The authors found increased ED visits for suicide, self-injury and disruptive behaviors, as well as higher admission rates for these children.
Mount Sinai’s Brendan Carr, MD, MS, Receives Prestigious “Chair of the Year Award” from Emergency Medicine Residents’ Association
The Emergency Medicine Residents’ Association (EMRA) of the American College of Emergency Physicians has honored Brendan G. Carr, MD, MS, Chair of Emergency Medicine at the Icahn School of Medicine of Mount Sinai and Mount Sinai Health System, with the prestigious “2022 Chair of the Year Award.” He is the only department chair in the country to receive this distinction for 2022, recognizing his exceptional leadership.
U.S. emergency department spending on the rise, study finds
Road injuries, falls and urinary diseases accounted for highest amount of ED spending.
EMS Ketamine Use on Agitated Patients on Cocaine Increases Intubation 5.75-fold
Patients with excited delirium often are administered ketamine by EMS before arriving at the hospital. Many of them are intoxicated or are using illicit substances, which may alter the properties of ketamine.
Rutgers Emergency Department Doctor Cautions Public on the Dangers of Viral Milk Crate Challenge
Professor Lewis Nelson, chair of the Department of Emergency Medicine at the Rutgers New Jersey Medical School, is available to discuss the dangers of participating in the viral social media trend, the milk crate challenge. “The risks and costs involved…
COVID-19 Uptick Triggers Concern
A month after the governor eased pandemic restrictions, it feels almost like a normal summer in Southern California’s crowded restaurants, airplanes and beaches.
Raritan Bay Medical Center Foundation Raises Nearly $150,000 at Golf Outing
On May 3, Hackensack Meridian Raritan Bay Medical Center Foundation raised nearly $150,000 at a golf outing that took place at Manasquan River Golf Club in Brielle in support of the Emergency Department expansion project taking place at Hackensack Meridian Raritan Bay Medical Center. Nearly 100 golfers participated in the event, which followed all CDC, state and local safety guidelines.
UChicago Medicine’s emergency department maintains HIV screening despite pandemic interruptions
A new report in JAMA Internal Medicine demonstrates how incorporating blood tests for HIV into standard COVID-19 screening in the emergency department allowed UChicago Medicine to maintain HIV screening volume during the pandemic.
The Medical Minute: When to head for urgent care instead of the hospital emergency room
Urgent care or emergency room? A certified nurse practitioner discusses how to choose what’s right for your crisis in this week’s Medical Minute.
Latest COVID Wave Fills Beds, Hammers Michigan ER Workers
Michigan Medicine’s adult and pediatric emergency rooms are experiencing a surge in positive COVID cases and hospitalizations. Younger patients are being admitted and Michigan is seeing a spread of the B.1.1.7 variant. Physicians are again asking the public for help to save lives and keep the ICUs from hitting capacity.
Black or Hispanic Kids Receive Less Medical Imaging than White Kids
Large study publishing in JAMA Network Open shows Black and Hispanic children in hospital emergency departments are less likely to have imaging tests, such as X-rays or CT scans, ordered for them compared to White children. The authors attribute this disparity largely to overuse among Whites.
Costs, COVID-19 risk and delays top older adults’ concerns about seeking emergency care, poll finds
Even before the pandemic, older Americans had concerns about seeking emergency care because of the costs they might face, the amount of time they might spend in the waiting room and more. But the risk of catching the novel coronavirus in the emergency department added to those worries, according to a national poll of people ages 50 to 80.
The Medical Minute: Planning ahead for a potential emergency department visit
Medical emergencies, by their nature, come with very little or no warning. While any injury or illness that requires a trip to the emergency department will likely cause distress, putting an action plan in place now can help minimize the anxiety and fear of a future visit.
The Medical Minute: Don’t let COVID-19 stop you from seeking critical medical care
When seeking critical medical care, minutes count — especially when dealing with cases of suspected heart attack or stroke. Yet many patients in need of emergency care have delayed or avoided a trip to the hospital fearing possible infection with COVID-19.
Use of Emergency Departments Plummets During COVID-19
A new commentary highlights the dramatic decline in emergency department visits during the COVID-19 pandemic and what could be causing the decrease.
Why is Appendicitis Not Always Diagnosed in the Emergency Department?
A new study examines the factors associated with a potentially missed diagnosis of appendicitis in children and adults in the emergency department.
Facebook Users Change Their Language Before an Emergency Hospital Visit
The language in Facebook posts becomes less formal and invokes family more often in the lead-up to an emergency room visit.
Bayshore Medical Center Foundation Board Members Launch Fundraising Campaign in Support of Dr. Robert H. Harris Emergency Care Center
The Hackensack Meridian Health Bayshore Medical Center Foundation Board of Trustees has launched a fundraising campaign to secure donations in support of the future Dr. Robert H. Harris Emergency Care Center at Hackensack Meridian Health Bayshore Medical Center, named by Mary Ellen Harris and the Golden Dome Foundation, which officially broke ground in October 2019.
University Radiology Makes Major Gift in Support of New Emergency Department at Raritan Bay Medical Center in Old Bridge
Hackensack Meridian Health Raritan Bay Medical Center Foundation is pleased to announce a gift of $150,000 from University Radiology in support of the new Emergency Department currently under construction at the Old Bridge campus of Hackensack Meridian Health Raritan Bay Medical Center.
Baylor Scott & White Health Opens Hospital in Austin
Baylor Scott & White Health, the largest not-for-profit health system in Texas, opened its newest full-service hospital today in Austin. Austin, located at 5251 W. U.S. Highway 290, Austin, TX 78735, becomes the System’s first hospital within Austin city limits. In addition to the hospital, a multi-specialty medical clinic will be located on the same campus as part of a comprehensive model of care.
Retrospective study suggests emergency department physicians are improving both outcomes and efficiency of care
In a new study published today in JAMA Internal Medicine, a team of researchers led by Laura Burke, MD, MPH, an emergency medicine physician at BIDMC, found that among Medicare beneficiaries receiving ED care in the United States, mortality within 30 days of an ED visit has declined in recent years, particularly for the highest-severity patients.