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A multicenter study investigated whether initiating a 1-hour resuscitation bundle—including antibiotics, fluids, vasopressors, and hydrocortisone—in the prehospital setting influences 28-day mortality in septic shock, finding no significant
Secondary analysis of two multicenter trials reveals that high-dose rocuronium (>1.2 mg/kg) improves first-attempt intubation success in ICU patients but not in the emergency department, highlighting a potential dose-dependent effect on
This prospective study from India evaluates the diagnostic accuracy of RIPASA versus Modified Alvarado Score in acute appendicitis, highlighting RIPASA’s superior sensitivity and discrimination in an Asian surgical cohort.
A pilot study demonstrates that ChatGPT-4 can feasibly collect accurate and satisfactory medical histories from pediatric emergency patients, streamlining triage and reducing documentation burden.
This study reveals that providing a resource menu increases caregivers’ desire for social assistance in the pediatric ED, supporting a tiered, patient-centered social care approach prioritizing preference and follow-up.
Non-English-speaking patients experience significantly longer emergency department wait times, especially during crowding, highlighting healthcare inequities that warrant system-level policy responses.
A study of over 94,000 ED visits found that intramuscular chemical sedation during mental health consultations was more common among Black patients, those arriving with EMS or law enforcement, and those on involuntary holds.
A comprehensive scoping review of 191 studies confirms widespread gender disparities disadvantaging women emergency physicians in compensation, leadership, and recognition, with little improvement over time.
This study examines emergency physician-performed awake intubations over 10 years, highlighting a 7.2% incidence, high success rates (92%), and low adverse events in a tertiary emergency department.
This study examines the duration of end-tidal CO2 monitoring needed to distinguish return of spontaneous circulation (ROSC) during out-of-hospital cardiac arrest resuscitation, finding 7 to 21 minutes depending on witness status and initial
This study explores teen and caregiver perspectives on lethal means safety counseling in the emergency department, highlighting its importance, preferred tool features, and challenges involving autonomy and family dynamics, informing tailor
A novel Psychiatric Model of Care integrating specialized nurse practitioners in the ED significantly reduced length of stay for psychiatric emergency patients, particularly those on involuntary holds, enhancing efficiency and patient flow.
A large-scale English study reveals longer stays in Type 1 emergency departments correlate with greater 30-day all-cause mortality, highlighting urgent need to understand underlying causes beyond direct time effects.
This study reveals that most emergency departments rarely encounter critically ill children, and only a minority of these cases could be redirected to high-volume centers, challenging the feasibility of universal direct transport policies f
Mobile Stroke Units enable faster diagnosis and initiation of antihypertensive treatment in intracerebral hemorrhage, significantly reducing time to care compared with conventional EMS transportation.
A study comparing physician-based surprise question, AI-driven GEST model, and a combined approach shows improved accuracy and efficiency in predicting 6-month mortality among older ED patients.
Palliative care in emergency medicine is a vital approach focused on early needs recognition, compassionate communication during uncertainty, and sustained clinical presence to aid decision-making and improve patient and family support.
Selective local management of mild traumatic brain injury with intracranial hemorrhage shows comparable safety and outcomes to transfer to level I trauma centers, reducing unnecessary patient transfers.
This study explores how delays in transferring patients from the emergency department to the ICU influence hospital mortality, revealing diagnosis- and hospital-type-specific associations, particularly in cardiac arrest and trauma cases.
This study assesses the accuracy of emergency physician-interpreted point-of-care ultrasound compared to cardiologist-interpreted consultative echocardiography for detecting right ventricular dysfunction in emergency patients with pulmonary
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