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Hospitalizations, cardiac testing, and revascularizations for chest pain patients without AMI have substantially declined from 2007 to 2021, without an increase in 180-day post-visit AMI risk overall, though older adults show modest rises.
The ACS Emergency General Surgery Verification Program has demonstrated significant improvements in hospital length of stay, acute kidney injury, and 30-day mortality by driving standardized care and process enhancements in emergency surgic
An international trial found the 0/1-hour high-sensitivity troponin pathway as safe as the standard 0/3-hour approach for ruling out myocardial infarction but observed no significant decrease in emergency department length of stay.
A large UK randomized trial found that routine outpatient CT coronary angiography after ruling out myocardial infarction in suspected acute coronary syndrome did not reduce the risk of subsequent cardiac events compared to standard care.
This study assesses the effectiveness of the V-FAST checklist in detecting visual impairments in suspected stroke patients compared to NIH Stroke Scale and orthoptist evaluation in an emergency setting.
This study analyzes tracheal intubation success and safety among pediatric emergency trainees, revealing comparable performance between emergency medicine residents and PEM fellows, while highlighting lower success and higher adverse events
This randomized controlled trial demonstrates that topical tranexamic acid effectively achieves initial hemostasis in acute spontaneous epistaxis, though it does not significantly reduce early rebleeding rates within 24 hours.
Following Hurricane Helene’s devastating impact in Western North Carolina, a small rural hospital adapted rapidly to prolonged digital outages, highlighting key strategies for disaster preparedness and community healthcare resilience.
This article reviews a pediatric emergency department initiative that increased optimal antibiotic prescribing for community-acquired pneumonia and acute bacterial rhinosinusitis, improving adherence to updated short-course guidelines and m
This review synthesizes recent evidence demonstrating that both human and ambient AI scribes reduce emergency physician documentation time without diminishing clinical productivity, highlighting evolving technology adoption and future resea
This study compares a rule-based computable phenotype with a large language model for detecting opioid use disorder in emergency department records, highlighting strengths in sensitivity and specificity for each method and implications for
AI scribes reduce active documentation time among emergency physicians, delay note initiation without prolonging completion, and yield longer notes without increasing short-term readmissions, supporting efficient clinical documentation acro
The ASPIRED trial showed that 14-day ambulatory ECG monitoring after unexplained syncope in the emergency department did not significantly reduce syncope recurrence compared to standard care over one year.
This study validates plasma biomarkers GFAP and UCH-L1 as sensitive but nonspecific tools to help rule out intracranial injury in mild traumatic brain injury patients, potentially improving emergency department efficiency while highlighting
This study examines differences in effect estimates between cluster-randomized and individually randomized clinical trials in prehospital, emergency, and critical care, revealing systematic bias in length-of-stay outcomes but not mortality.
US emergency departments increasingly discharge transient ischemic attack patients with extensive imaging, reflecting a shift from inpatient to expedited outpatient evaluation, raising questions about cost, feasibility, and rural healthcare
A randomized crossover study reveals that manual ventilation quality in pediatric respiratory arrest is suboptimal among EMS clinicians, but use of a ventilation feedback device significantly improves adherence to pediatric ventilation guid
The ICare-FASTER trial demonstrates that implementing point-of-care high-sensitivity cardiac troponin testing in emergency departments safely reduces patient length of stay by nearly 50 minutes without compromising 30-day cardiac safety out
This study develops and evaluates prognostic models combining clinical and toxicity information to predict complicated outcomes in ICU patients with acute intoxication, demonstrating the added value of laboratory data over toxicity scores a
This study assesses the safety, quality, and user acceptance of a conversational AI system aiding urgent primary care by engaging patients before appointments, demonstrating promising feasibility for clinical integration.
