Emergency Medicine

Bridging Gaps in Trauma Care: Assessing Trauma-Informed Communication in the Trauma Bay

By MedXY 09/21/2026

This study evaluates the delivery of trauma-informed care in initial trauma bay assessments, revealing inconsistencies in communication and care quality, especially among Spanish-speaking patients, underscoring the need for equity-focused trauma education and practice.

Emergency Medicine news

Defining Diagnostic Excellence and Missed Diagnostic Opportunity in the Emergency Department: Key Consensus Recommendations for Practice and Research

By MedXY 09/20/2026

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 improvement.

Emergency Medicine news Psychiatry

Dexmedetomidine Continuous Infusion to Maintain Sedation in Severely Agitated Adolescents in the Emergency Department: A Case Series Report

By MedXY 09/20/2026

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.

Emergency Medicine Neurology news

Emergent Interfacility Transfers for Ischemic Stroke in the U.S.: Patterns and Implications from 2016 to 2022

By MedXY 09/19/2026

This study analyzes national trends in emergent interfacility ischemic stroke transfers among Medicare beneficiaries, revealing shifts in transfer rates, patient characteristics, and hospital features associated with transferred versus nontransferred populations from 2016 to 2022.

Emergency Medicine news

Evaluating the Impact of Relative Value Unit-Based Compensation on Emergency Physician Performance and Operational Outcomes

By MedXY 09/18/2026

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 influence clinical or service outcomes.

Cardiology Emergency Medicine news

Comparing 0/1-Hour vs 0/3-Hour High-Sensitivity Troponin Pathways for Suspected Acute Coronary Syndrome in Real-World Practice

By MedXY 09/17/2026

This randomized trial evaluates the safety and efficiency of the ESC 0/1-hour versus 0/3-hour high-sensitivity troponin pathways in suspected acute coronary syndrome, showing noninferior safety but no significant improvement in rapid discharge rates with the shorter interval.

Emergency Medicine General Surgery news

Rethinking Surgical Quality Metrics: The Role of Operative-to-Nonoperative Management Ratio in Elderly Emergency General Surgery Outcomes

By MedXY 09/15/2026

This study analyzes how the balance between operative and nonoperative management in emergency general surgery for older adults relates to their odds of discharge home, proposing ONR as a novel quality benchmark beyond traditional metrics.

Clinical Updates Emergency Medicine news Pediatrics

Childhood Mental Health-Related Emergency Department Visits and Pediatric Volume Dynamics in the US (2016-2022): A Comprehensive Review

By MedXY 09/13/2026

Pediatric mental health ED visits in the US have surged 2016-2022, exhibiting volume-dependent disparities in patient demographics and diagnoses, highlighting opportunities for tailored interventions to enhance care across diverse emergency settings.

Emergency Medicine news Psychiatry

Predicting PTSD in Gunshot Wound Survivors: The Role of Shock Index, Hypotension, and Blood Transfusion

By MedXY 09/12/2026

This study highlights how early physiologic markers like shock index and hypotension can predict PTSD risk in gunshot wound survivors, while blood transfusion shows an inverse relationship, aiding targeted mental health interventions.

Critical Care Emergency Medicine news

Therapeutic Hypothermia at 35°C vs. Controlled Normothermia in ICU Heatstroke: Insights from a Pilot RCT

By MedXY 09/03/2026

A pilot randomized trial comparing targeted temperature management at 35°C versus normothermia in intubated heatstroke patients showed no survival or neurological benefit from hypothermia but increased gastrointestinal injury and arrhythmias, highlighting safety concerns and questioning routine hypothermia use in this setting.

Diabetes & Endocrinology Emergency Medicine news

Bridging the Gap: Ensuring Outpatient Follow-Up After Emergency Department Visits for Diabetes

By MedXY 09/01/2026

Less than half of diabetes patients discharged from the emergency department receive timely outpatient follow-up, underscoring critical care continuity gaps that require targeted interventions to improve outcomes.

Diabetes & Endocrinology Emergency Medicine news

Age-Specific Excess Healthcare Burden of Diabetes: Beyond Traditional Complications

By MedXY 08/21/2026

Diabetes significantly increases inpatient admissions and ED visits across all ages, driven increasingly by nontraditional complications. Age-specific risks reveal shifting patterns in healthcare utilization that call for tailored clinical strategies.

Emergency Medicine news Pediatrics

Impact of Emergency Department Pediatric Readiness and Inpatient Services on Child Mortality: A Decade-Long Cohort Study

By MedXY 08/20/2026

This cohort study links changes in emergency department pediatric readiness and inpatient pediatric services over ten years with excess child mortality, highlighting the critical role of hospital preparedness in pediatric survival.

Emergency Medicine news Pediatrics

Agency-Level Variability in Futility Determinations and Termination of Resuscitation for Pediatric Out-of-Hospital Cardiac Arrest

By MedXY 08/14/2026

A national study reveals significant variability across EMS agencies in decisions about resuscitation futility and termination for pediatric out-of-hospital cardiac arrests, highlighting critical impacts on care and outcomes.

Critical Care Emergency Medicine news

Evaluating a Simplified Binary Triage System for Military Trauma: Balancing Accuracy and Operational Feasibility

By MedXY 08/14/2026

A judgment-based binary triage system demonstrated high sensitivity and low undertriage rates in military trauma, supporting its use despite significant overtriage under combat conditions.

Allergy & Immunology Critical Care Emergency Medicine news

Evaluating the Impact of a Prehospital 1-Hour Resuscitation Bundle on Septic Shock Mortality: Insights from the SAMU Save Sepsis Study

By MedXY 08/11/2026

A multicenter randomized trial found that initiating a 1-hour resuscitation bundle including early antibiotics, fluids, vasopressors, and hydrocortisone in the prehospital setting did not significantly reduce 28-day mortality in adults with septic shock.

Critical Care Emergency Medicine news

Impact of Rocuronium Dose on First-Attempt Intubation Success in Critically Ill Patients: Insights from a Secondary Analysis of Multicenter Trials

By MedXY 08/11/2026

High-dose rocuronium (>1.2 mg/kg) is associated with improved first-attempt intubation success in ICU patients, though this benefit was not observed in the ED setting. Further randomized trials are needed to confirm these findings.

Critical Care Emergency Medicine news

Evaluating the Impact of a 1-Hour Prehospital Resuscitation Bundle on Septic Shock Outcomes

By MedXY 08/11/2026

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 mortality benefit.

Critical Care Emergency Medicine news

High-Dose Rocuronium Enhances First-Attempt Intubation Success in Critically Ill ICU Patients: Insights from Secondary Analysis of Multicenter Trials

By MedXY 08/11/2026

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 airway management outcomes.

Emergency Medicine General Surgery news

Comparative Diagnostic Accuracy of RIPASA and Modified Alvarado Scores in Acute Appendicitis: Insights from an Indian Tertiary Centre

By MedXY 08/07/2026

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.