Tag: emergency

1. The proportion of out of hospital cardiac arrests (OHCAs) within all acute myocardial infarction (AMI) hospital admissions was higher at the start of the COVID-19 pandemic compared to before, by a difference of 2.0%. 2. The in-hospital mortality rate for OHCAs during COVID-19 was higher than before, by a...
1. Longer pre-hospital times for trauma patients were not associated with 30-day mortality. 2. A 10-minute delay in pre-hospital time for trauma patients was associated with a 6% increased odds of a poor functional outcome upon discharge. Evidence Rating Level: 2 (Good) Each year, trauma comprises 0.5% of deaths worldwide. Historically,...
Efficacy of prehospital criteria in identifying trauma patients susceptible to undertriage While the early recognition of severe traumatic injury is associated with improved morbidity and mortality, undertriage has been associated with poorer patient outcomes. Previous research has shown that tachypnea and blunt thoracic injury are associated with undertriage. In this...
Image: PD 1. The NEXUS (National Emergency X-Radiography Utilization Study) Chest decision instrument demonstrated high sensitivity for detecting thoracic injury on chest imaging (TICI), and for TICI with clinically major injury (98.8% and 99.7% respectively).  2. The negative predictive value of NEXUS Chest for TICI and TICI with clinically major injury...
Image: PD 1. Emergency Department (ED) use of radiography in asthma increased significantly between 1995 and 2009.  2. Pediatric-focused EDs have significantly lower rates of radiography use in children with asthma, bronchiolitis and croup. Study Rundown: Nearly one million children in the U.S. present to the ED each year for asthma, bronchiolitis, or...
Image: PD 1. During 1990-2011, TV-related injuries occurred in 2.43 per 10,000 children. 2. Injuries related to falling TVs increased by 95% over the study period. Evidence Rating Level: 2 (Good)            Study Rundown: Falling televisions are significant sources of morbidity within the pediatric population. Greater than 99% of...
Image: PD 1. Vasopressin-steroids-epinephrine combination patients were more likely to have return to spontaneous circulation and survive to hospital discharge with good neurologic function.  2. Vasopressin-steroid-epinephrine combination patients with postresuscitation shock, given hydrocortisone, were more likely to survive to hospital discharge with good neurologic function.  Evidence Rating Level: 1 (Excellent)  Study Rundown: Given...
Image: PD 1. Nonfatal ATV-related injuries in children aged ≤ 15 years increased in frequency from 2001 to 2004, and subsequently decreased from 2004-2010. Injury type and severity remained constant over time.  2. Among children presenting to the ED with nonfatal ATV-related injuries, the most common injuries were fractures, contusions/abrasions, and...
Image: PD 1. Of patients transferred to the level I trauma center, 24% of adult patients and 49% of pediatric patients met criteria for secondary overtriage. Overtriaged patients were mostly likely to have head and neck injuries, followed by skin/soft tissue injuries.  2. Compared to trauma patients who were not overtriaged,...