The Briefing · Emergency & Critical Care
Continuous newsroom coverage of evidence in Emergency & Critical Care — newest first.
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Sonorheometry Reliably Excludes Coagulopathy During Initial Trauma Resuscitation
A multicenter study validates bedside sonorheometry for rapid exclusion of trauma-induced coagulopathy with high negative predictive values.
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Negative PCR Panel and Sputum Culture Rule Out Pneumonia Mimics
A prospective ICU study shows 91 percent specificity for non-infectious mimics when molecular and culture results are both negative.
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Experts Define 50 Hospital-Based Criteria for Pediatric Critical Illness
A consensus-based framework provides standardized metrics to identify high-risk children and benchmark emergency medical services performance.
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Early Tracheostomy Increases Discharge to Home Rates in Selected ICU Patients
A retrospective study of 205 patients shows that tracheostomy within 10 days reduces ventilation duration and improves discharge outcomes.
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Bedside AI Analyzes EEG to Predict Cardiac Arrest Outcomes
A deep learning tool integrated into ICU monitors provides continuous prognostic trajectories for comatose patients within 36 hours.
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Acute Neurological Symptoms Predict Mortality in Heat-Related Illness
A Japanese study of 2,961 patients finds that impaired consciousness and seizures increase the risk of in-hospital death sevenfold.
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Emergency Departments Miss HIV and Syphilis Screening in 88% of STI Cases
A retrospective study of 3,940 patients shows low rates of comprehensive STI testing despite rising national infection rates.
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Clinicians Use Low Platelet Thresholds for Procedures in Refractory Thrombocytopenia
A survey of intensive care practitioners shows many safely place central lines at platelet counts below 20,000/mm3.
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Online Training Increases Fascia Iliaca Block Use for Pediatric Femur Fractures
A web-based module combined with brief hands-on training doubled the rate of ultrasound-guided regional anesthesia in the emergency department.
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TXA Linked to Lower Reoperation Odds in Posttonsillectomy Hemorrhage
A multicenter study of 19,572 pediatric encounters shows tranexamic acid use increased to 30% by 2024 and reduced reoperation risk by 34%.
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One in Four Non-Comatose Cardiac Arrest Survivors Face Poor Outcomes
A registry analysis identifies age, motor response, and pH levels as key predictors of 30-day recovery in patients who avoid post-arrest coma.
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One Quarter of Helicopter Emergency Missions Provide No Clinical Benefit
A retrospective analysis of 2,286 missions shows that while 74 percent are beneficial, many deployments lack clear utility.
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Single-Responder Paramedic Units Meet Patient Needs for Immediate Help
Qualitative analysis shows patients prioritize clinical assistance over transport, finding single-paramedic units reduce medical drama.
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Delphi Panel Defines 50 Criteria for Pediatric Critical Illness
A multidisciplinary panel established standardized hospital-based measures to improve prehospital triage and emergency medical services.
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Device Conflicts Affect 10% of Pediatric Mental Health Boarding Patients
Younger males with neurodevelopmental disorders face the highest risk of behavioral dysregulation when digital device access is restricted.
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Clinical Pathway Cuts Pediatric CT Use and Emergency Department Wait Times
A multidisciplinary protocol prioritizing ultrasound and surgical consultation met national quality goals while reducing stay by 103 minutes.
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Low Health Literacy Linked to Social Media Reliance and Emergency Visits
Patients with limited health literacy prioritize emergency care over outpatient clinics when faced with long wait times or online advice.
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Sex Not Independently Linked to Post-Arrest Neurological Recovery
Observed survival disparities between men and women disappear after adjusting for initial rhythm and arrest etiology.
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Pediatric Cannabis Hyperemesis Protocol Increases Capsaicin Use and Lowers Haloperidol Dosing
A standardized algorithm shifted prescribing patterns for adolescent cannabis hyperemesis without altering admission rates or length of stay.
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Early Bronchoscopy Linked to Shorter Ventilation After Cardiac Arrest
A retrospective study shows bronchoscopy within 24 hours reduces mechanical ventilation by 145 hours and guides antibiotic adjustments.
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Whole Blood Reduces Male Trauma Mortality but Shows No Benefit in Females
A nationwide analysis of 8,631 patients finds sex-based disparities in both whole blood utilization and subsequent survival outcomes.
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Short Appendiceal Stump on CT Predicts Complex Resection and Open Conversion
A retrospective review found that a stump length under 2 cm increases the odds of extended resection twenty-fold in complicated cases.
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Community CPR Training Increases Bystander Response but Not Defibrillator Use
A study of 6,280 cardiac arrests shows high training rates boost chest compressions while device use remains stagnant at less than 1%.
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Polymeric Clips Match Stapler Safety at Lower Cost in Appendectomy
A retrospective study of 692 patients shows polymeric clips are a cost-effective alternative to staplers for appendiceal stump closure.