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Hepatitis C Screening Among Persons Experiencing Homelessness in Emergency Departments: Insights from the DETECT Hep C Screening Trial and Related Evidence

Clinical Updatesemergency departmentHepatitis C

Hepatitis C Screening Among Persons Experiencing Homelessness in Emergency Departments: Insights from the DETECT Hep C Screening Trial and Related Evidence

By MedXY|Jul 17, 2026

Emergency departments serve as vital venues for hepatitis C virus screening, particularly for persons experiencing homelessness who exhibit higher HCV prevalence and face healthcare access barriers. Evidence supports nontargeted screening i

Enhancing Suicide Prevention: Teen and Caregiver Views on Lethal Means Safety Planning in the Emergency Department

Emergency Medicine

adolescent mental health

emergency department

Enhancing Suicide Prevention: Teen and Caregiver Views on Lethal Means Safety Planning in the Emergency Department

By MedXY|Jul 14, 2026

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

Transforming Emergency Psychiatric Care: How a Novel Staffing Model Cuts Length of Stay

Emergency Medicineemergency departmentLength of Stay

Transforming Emergency Psychiatric Care: How a Novel Staffing Model Cuts Length of Stay

By MedXY|Jul 12, 2026

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.

Prolonged Emergency Department Stay Linked to Increased 30-Day Mortality: Insights from a National Observational Study in England

Emergency Medicine30-day mortalityemergency department

Prolonged Emergency Department Stay Linked to Increased 30-Day Mortality: Insights from a National Observational Study in England

By MedXY|Jul 9, 2026

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.

Impact of Emergency Department-to-ICU Transfer Times on Mortality Across Critical Care Diagnoses: Insights from a Dutch Cohort Study

Critical Carecardiac arrestcritical care

Impact of Emergency Department-to-ICU Transfer Times on Mortality Across Critical Care Diagnoses: Insights from a Dutch Cohort Study

By MedXY|Jun 26, 2026

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.

Routine Laboratory Testing Rarely Improves Emergency Department Medical Screening for Adult Psychiatric Presentations

Emergency Medicineemergency departmentlaboratory testing

Routine Laboratory Testing Rarely Improves Emergency Department Medical Screening for Adult Psychiatric Presentations

By MedXY|Jun 6, 2026

A 145-publication scoping review finds that ED medical screening of adults with psychiatric complaints is dominated by low-level evidence, with society statements generally discouraging routine laboratory testing in otherwise low-risk patie

Association Between Emergency Department Undertriage or Overtriage With Timeliness of Care and Patient Outcomes

Emergency Medicineemergency departmentEmergency Severity Index

Association Between Emergency Department Undertriage or Overtriage With Timeliness of Care and Patient Outcomes

By MedXY|Jun 4, 2026

A large multicenter study found that emergency department triage mismatches were linked to small delays in care and longer stays, especially for overtriaged patients. Better use of patient history may improve triage accuracy.

One in Six Older Emergency Department Patients Has Delirium: New Multisite Data Highlight Missed Risk, Mixed Management, and Higher Hospital Use

Emergency Medicinedeliriumemergency department

One in Six Older Emergency Department Patients Has Delirium: New Multisite Data Highlight Missed Risk, Mixed Management, and Higher Hospital Use

By MedXY|Jun 4, 2026

A large multisite cohort found delirium in 16% of older adults in the emergency department, including nearly 8% of those discharged, with strong links to dementia, acuity, hospitalization, and 30-day readmission.

One in Six Older Adults Presenting to the Emergency Department Had Delirium, With Higher Admission and 30-Day Readmission Risk

Emergency Medicinedeliriumemergency department

One in Six Older Adults Presenting to the Emergency Department Had Delirium, With Higher Admission and 30-Day Readmission Risk

By MedXY|Jun 4, 2026

A large multi-site cohort found delirium in 16% of older ED patients, including many discharged home, and linked it to higher admission and 30-day readmission, underscoring the need for standardized screening and supportive care.

Clinical Care Guideline Implementation of Nebulized Tranexamic Acid in Post-Tonsillectomy Hemorrhage

Emergency Medicineclinical care guidelineemergency department

Clinical Care Guideline Implementation of Nebulized Tranexamic Acid in Post-Tonsillectomy Hemorrhage

By MedXY|Jun 1, 2026

A clinical care guideline for nebulized tranexamic acid in post-tonsillectomy hemorrhage was rapidly adopted in the Emergency Department and was associated with fewer returns to the operating room.

A Clinical Care Guideline for Nebulized Tranexamic Acid Was Associated With Fewer Operating Room Returns After Post-Tonsillectomy Hemorrhage

Emergency Medicineclinical care guidelineemergency department

A Clinical Care Guideline for Nebulized Tranexamic Acid Was Associated With Fewer Operating Room Returns After Post-Tonsillectomy Hemorrhage

By MedXY|Jun 1, 2026

A structured emergency department guideline for nebulized tranexamic acid in post-tonsillectomy hemorrhage achieved rapid protocol uptake and was associated with a marked reduction in operative hemorrhage control.

A Standardized Emergency Department Guideline for Nebulized Tranexamic Acid Was Linked to Fewer Operating Room Returns After Post-Tonsillectomy Hemorrhage

Emergency Medicineclinical care guidelineemergency department

A Standardized Emergency Department Guideline for Nebulized Tranexamic Acid Was Linked to Fewer Operating Room Returns After Post-Tonsillectomy Hemorrhage

By MedXY|Jun 1, 2026

A hospital clinical care guideline enabled rapid uptake of nebulized tranexamic acid for eligible post-tonsillectomy hemorrhage and was associated with a marked reduction in operative control of bleeding.

A Post-Tonsillectomy Hemorrhage Guideline With Nebulized Tranexamic Acid Was Linked to Fewer Returns to the Operating Room

Emergency Medicineclinical care guidelineemergency department

A Post-Tonsillectomy Hemorrhage Guideline With Nebulized Tranexamic Acid Was Linked to Fewer Returns to the Operating Room

By MedXY|Jun 1, 2026

A quality-improvement guideline standardizing nebulized tranexamic acid for post-tonsillectomy hemorrhage achieved high protocol adherence and was associated with a marked reduction in operative hemorrhage control.

Digital Shared Decision Support Increased STI Testing for Adolescents and Young Adults in the Emergency Department

Emergency Medicineadolescent healthemergency department

Digital Shared Decision Support Increased STI Testing for Adolescents and Young Adults in the Emergency Department

By MedXY|May 30, 2026

In a randomized controlled trial, the STIckER smartphone-based decision aid increased gonorrhea/chlamydia and pharyngeal STI testing in emergency department patients aged 14 to 24 years, while improving decisional clarity, satisfaction, and

An Emergency Department Nudge-Based Strategy to Screen and Treat Patients With Alcohol Misuse

Emergency MedicineAlcohol Misuseclinical decision support

An Emergency Department Nudge-Based Strategy to Screen and Treat Patients With Alcohol Misuse

By MedXY|May 27, 2026

A multicomponent emergency department workflow using screening, electronic prompts, and discharge decision support significantly increased naltrexone prescribing for patients with alcohol-related diagnoses.

Intravenous Magnesium Sulfate for Acute Nontraumatic Headache in the Emergency Department

Emergency Medicineacute nontraumatic headacheemergency department

Intravenous Magnesium Sulfate for Acute Nontraumatic Headache in the Emergency Department

By MedXY|May 22, 2026

Intravenous magnesium sulfate added to paracetamol increased early headache-treatment success in the emergency department, but the pain relief was modest and below usual clinical importance thresholds. It also reduced rescue analgesia needs

A New hs-cTnT Generation 6 Assay Matches Generation 5 for Myocardial Infarction Diagnosis While Labeling Fewer Patients as Myocardially Injured

CardiologyDiagnostic accuracyemergency department

A New hs-cTnT Generation 6 Assay Matches Generation 5 for Myocardial Infarction Diagnosis While Labeling Fewer Patients as Myocardially Injured

By MedXY|May 9, 2026

In suspected myocardial infarction, hs-cTnT-gen6 showed diagnostic accuracy comparable to gen5, produced fewer myocardial injury classifications, and supported highly sensitive ESC 0/1-hour and 0/2-hour rule-out and rule-in pathways using a

Ambient AI Scribes Reduced Emergency Department Documentation Time, but Early Adoption Was Limited and Highly Concentrated

AIambient AI scribedocumentation time

Ambient AI Scribes Reduced Emergency Department Documentation Time, but Early Adoption Was Limited and Highly Concentrated

By MedXY|May 5, 2026

In a real-world academic emergency department, ambient AI scribe use was uncommon and concentrated among a small group of physicians, but when used it was associated with shorter documentation and total EHR time.

LEGEND Trial: A Game-Changer in Rapid Rule-Out of Acute Myocardial Infarction in the ED

Cardiologyacute coronary syndromeemergency department

LEGEND Trial: A Game-Changer in Rapid Rule-Out of Acute Myocardial Infarction in the ED

By MedXY|Apr 24, 2026

The LEGEND trial demonstrates that a high-sensitivity troponin-based rule-out strategy significantly reduces hospital length of stay and cardiac testing while safely excluding acute myocardial infarction in emergency department patients.

ED-Delivered Education Plus mHealth Lowers Systolic BP — TOUCHED Trial Shows a Modest but Meaningful 4.9 mm Hg Reduction at 6 Months

CardiologyBlood Pressure Controlemergency department

ED-Delivered Education Plus mHealth Lowers Systolic BP — TOUCHED Trial Shows a Modest but Meaningful 4.9 mm Hg Reduction at 6 Months

By MedXY|Dec 5, 2025

The TOUCHED randomized trial found that an ED-initiated education plus mHealth and pharmacist/APRN consultation reduced systolic blood pressure by 4.9 mm Hg at 6 months versus usual care in patients discharged with elevated BP.

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