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Patient Care Falters as COVID-19 Devastates L.A. County (CA) Hospitals
Soumya Karlamangla, Rong-Gong Lin II, Luke Money Los Angeles Times (MCT) Los Angeles County’s healthcare system was buckling Wednesday under the unprecedented surge of COVID-19 patients, with bodies piling up at morgues and medical professionals resorting to increasingly desperate measures as they brace for conditions to worsen in the coming weeks. With hospitals overwhelmed by patients and no outlet valve available, doctors, nurses and paramedics are being forced to make wrenching choices about who gets care and at what level. “No one would believe this is in the United States,” ...
Source: JEMS Operations - December 31, 2020 Category: Emergency Medicine Authors: JEMS Staff Tags: Coronavirus News News Feed California EMS Hospital Paramedic Source Type: news

Marion County (WV) Rescue Squad Honored for Heart Patient Transport Times
Eddie Trizzino Times West Virginian, Fairmont (MCT) When an individual is having a heart attack, every second matters in getting them treated to ensure they will not only survive, but maintain a healthy heart after their trauma. For a few months this past summer, the Marion County Rescue Squad could not transfer patients to an emergency department within Marion County, after Fairmont Regional Medical Center closed in May. Michael Angelucci, administrator of the Marion County Rescue Squad, in some cases, this added up to 30 minutes to a patient’s transport to a hospital. ...
Source: JEMS Patient Care - January 6, 2021 Category: Emergency Medicine Authors: JEMS Staff Tags: Cardiac & Resuscitation News News Feed Patient Care Cardiac Arrest West Virginia Source Type: news

Recognizing Vaccine-Induced Immune Thrombotic Thrombocytopenia
CONCLUSIONS: Vaccine-induced immune thrombotic thrombocytopenia is a serious complication of vaccination that is not feasible to anticipate or prevent. When the patient presents with sustained headache, neurologic symptoms/signs, abdominal pain, dyspnea, or limb pain/swelling beginning 5–30 days post vaccination, platelet count and d-dimer must be measured, and imaging for thrombosis performed. Confirmation of vaccine-induced immune thrombotic thrombocytopenia diagnosis should be ordered (platelet factor 4/polyanion enzyme-linked immunosorbent assay; platelet factor 4–enhanced platelet activation testing) as treatm...
Source: Critical Care Medicine - December 20, 2021 Category: Emergency Medicine Tags: Online Review Article Source Type: research

Characteristics and Outcomes of Pediatric Patients With a Ventricular Assist Device Presenting to the Emergency Department
Conclusions Among subjects in a single outpatient pediatric VAD program presenting to the ED, the most common complaints were abdominal pain/vomiting, fever, and headache. The most common adverse events were major infection and right heart failure. Subjects had a high rate of ED utilization and hospital admission.
Source: Pediatric Emergency Care - February 1, 2022 Category: Emergency Medicine Tags: Original Research Article Source Type: research

Patterns and predictors of emergency medical services utilisation by patients attending the emergency medicine department of a tertiary care hospital in India
Conclusion: There was underutilization of the EMS services. Majority of the ambulances were not adequately equipped/staffed to deliver prehospital interventions. Policies at national level are required to encourage EMS utilization by the public and urgent measures are needed to improve services provided by them.
Source: Journal of Emergencies, Trauma and Shock - June 27, 2022 Category: Emergency Medicine Authors: Prithvishree Ravindra Rachana Bhat Nisarg Karanth William Wilson BN Lavanya Simran Umra Shweta Mahesh Source Type: research

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Neurologic emergencies can be difficult to diagnose and treat, and are devastating if missed. Stroke is still the number five cause of death in the United States, down from number three a few years ago, and is the leading cause of long-term serious disability. Nonconvulsive status epilepticus is a substantial problem in intensive care units. Traumatic brain injuries from head trauma are a leading cause of post-traumatic stress in many populations. Then we have spine injuries, headache, back pain, infections, and vision problems, which present to emergency departments on a daily basis.
Source: The Journal of Emergency Medicine - April 5, 2023 Category: Emergency Medicine Authors: Edward J. Otten Tags: Book and Other Media Reviews Source Type: research

Racial Differences in Triage for Emergency Department Patients with Subjective Chief Complaints
In this study we aimed to determine whether these effects are more pronounced for patients with subjective complaints.Methods: We performed a retrospective analysis for all adult visits between 2016-2019 at an urban academic emergency department (ED) with acuity-based pods. We determined rates of initial high-acuity triage both across all patients and among the subset located in the high-acuity pod at time of disposition (either through initial assignment or subsequent up-triage). Analysis was performed for common chief complaints categorized as subjective (chest pain, dyspnea, any pain); observed (altered mental status); ...
Source: Western Journal of Emergency Medicine - August 30, 2023 Category: Emergency Medicine Authors: Peitzman, Cassandra Source Type: research

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