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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.
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 review synthesizes evidence supporting outpatient management of acute low-risk pulmonary embolism (PE), highlighting risk stratification tools, safety outcomes, and implementation strategies to enhance adoption in clinical practice.
A multicenter study shows similar 14-day treatment failure rates among first-, second-, and third-generation oral cephalosporins for outpatient pyelonephritis, supporting flexibility in antibiotic choice post-ED discharge.
This randomized clinical trial demonstrates no clinically meaningful difference in pain relief between 20 mg intranasal and subcutaneous ketamine for acute musculoskeletal trauma in the emergency department, with minor adverse events being
This randomized trial found that larger doses of bupivacaine for sphenopalatine ganglion block did not improve sustained headache relief in emergency patients compared to smaller doses, with good tolerability across all doses.
A multidisciplinary RAND/UCLA consensus defines ‘diagnostic excellence’ and ‘missed diagnostic opportunity’ for emergency departments, offering clear conceptual components to guide measurement, research, and quality
This report describes the use of dexmedetomidine infusion for sedation in severely agitated adolescents in the ED, highlighting its feasibility as a bridge therapy while awaiting psychiatric care.
A national study examining the shift from hourly to RVU-based pay for emergency physicians found no significant changes in productivity, billing intensity, or key operational metrics, suggesting compensation models may not strongly influenc
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.
Non-English-speaking patients experience significantly longer emergency department wait times, especially during crowding, highlighting healthcare inequities that warrant system-level policy responses.
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 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
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.
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
Pharmacy interventions on ED medication orders increased as clinicians spent more time on shift. The association persisted across roles and shift types, suggesting fatigue-related risks but varying by site.
In selected children with out-of-hospital cardiac arrest, extracorporeal CPR was associated with higher one-month survival and better neurologic outcomes than continued conventional CPR, though the study was observational and estimates were
A clinical care guideline improved emergency use of nebulized tranexamic acid for post-tonsillectomy bleeding and was associated with fewer returns to the operating room.
A multicenter emergency department study found that CPES performed similarly to sPESI and ESC for short-term PE outcomes, but it better predicted the need for advanced intervention.
