emergency medicine

Adoption of Outpatient Management of Acute Low-Risk Pulmonary Embolism: Evidence, Implementation, and Future Directions

By MedXY 10/20/2026

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.

Emergency Medicine Infectious Diseases news Urology

Evaluating Oral Cephalosporin Generations for Outpatient Pyelonephritis: Insights from the DOGMA-ED Study

By MedXY 10/13/2026

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.

Anesthesiology Emergency Medicine news

Intranasal vs. Subcutaneous Ketamine for Acute Traumatic Pain in the ED: Comparable Efficacy and Safety

By MedXY 09/24/2026

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 more common in the subcutaneous group.

Emergency Medicine Neurology news

Evaluating Sphenopalatine Ganglion Block Dosage for Headache Relief in the Emergency Department

By MedXY 09/24/2026

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.

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 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.

AI Emergency Medicine news Pediatrics

Harnessing AI for Pediatric Emergency Care: ChatGPT-Driven Early Medical History Retrieval Pilot Study

By MedXY 08/05/2026

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.

Emergency Medicine news Public Health

Language Barriers and Emergency Department Crowding: Uncovering Disparities in Wait Times at an Academic Medical Center

By MedXY 08/03/2026

Non-English-speaking patients experience significantly longer emergency department wait times, especially during crowding, highlighting healthcare inequities that warrant system-level policy responses.

Critical Care Emergency Medicine news

Resuscitation From Out-of-Hospital Cardiac Arrest: Reliable Association of EtCO2 with ROSC

By MedXY 07/18/2026

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 EtCO2 levels.

AI Emergency Medicine news

Enhancing End-of-Life Mortality Prediction in Emergency Departments Using Collaborative AI Tools

By MedXY 07/02/2026

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.

Emergency Medicine news

Embracing Uncertainty: Integrating Palliative Care into Emergency Medicine Practice

By MedXY 06/30/2026

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.

Cardiology Emergency Medicine news

Evaluating Point-of-Care Ultrasound Accuracy for Right Ventricular Dysfunction in Pulmonary Embolism: A Comparative Analysis with Consultative Echocardiography

By MedXY 06/26/2026

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 embolism, revealing moderate sensitivity and specificity, with improved accuracy in moderate to severe cases.

Emergency Medicine news Public Health

When Shift Hours Add Up: Emergency Department Medication Errors Rise as Clinicians Get Tired

By MedXY 06/19/2026

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.

Cardiology Critical Care Emergency Medicine news Pediatrics

Extracorporeal Cardiopulmonary Resuscitation for Pediatric Out-of-Hospital Cardiac Arrest

By MedXY 06/02/2026

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 imprecise.

Emergency Medicine news Otorhinolaryngology

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

By MedXY 06/01/2026

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.

Cardiology Emergency Medicine news

Associations of the Composite Pulmonary Embolism Shock Score in the Emergency Department With Short-Term Clinical Outcomes

By MedXY 05/18/2026

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.

Emergency Medicine Neurology news

Stroke Disability and Mortality Post-ED Discharge for Dizziness: Rare but Clinically Significant

By MedXY 04/27/2026

A retrospective cohort study reveals that stroke-related disability or mortality after ED discharge for dizziness is rare (0.04% incidence), with most lesions occurring in the anterior fossa. Findings underscore the need for targeted risk stratification in dizziness evaluations.

Cardiology Emergency Medicine news

Revolutionary Sixth-Generation Troponin Assay Doubles Early MI Rule-Out Capacity

By MedXY 04/24/2026

A novel sixth-gen hs-cTnT assay with a 13 ng/L threshold safely identified twice as many low-risk MI patients at ED presentation vs fifth-gen assays, achieving >99.5% NPV in multinational validation.

Emergency Medicine news Pediatrics Radiology

Observation Reduces CT Use in Pediatric Blunt Abdominal Trauma Without Missing Critical Injuries

By MedXY 04/21/2026

A multicenter study shows that observation with deferred CT decision-making significantly reduces CT use in children with blunt abdominal trauma, particularly in cases with intermediate clinician suspicion, without increasing missed injuries.