The Briefing · Emergency & Critical Care
Continuous newsroom coverage of evidence in Emergency & Critical Care — newest first.
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Pediatric Knife Fatalities Linked to Deprivation and Prior Social Service Contact
A five-year review of 145 deaths in England identifies high rates of pre-hospital mortality and significant psychosocial vulnerabilities.
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Vision-Enabled GPT Predicts Tube Thoracostomy Need in Spontaneous Pneumothorax
A retrospective study shows a generative model accurately measures apical depth and aligns with emergency department triage decisions.
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Routine ICU Delirium Screening Misses 72% of Cases in Spanish Speakers
Caregiver-administered assessments can recover nearly half of missed delirium diagnoses when patient-provider language barriers exist.
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Serious Games Reduce Geriatric Trauma Undertriage in Nontrauma Centers
A randomized trial of 800 emergency physicians shows digital simulation training improves adherence to triage guidelines for older adults.
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Mobile ECMO Truck Matches In-Hospital Survival in Cardiac Arrest
A mobile ECMO truck delivering scene-based resuscitation achieved a 25% neurologically favorable survival rate, matching in-hospital care.
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Ambulance Lights and Sirens Save Only Three Minutes During Patient Transport
A study of 25,902 incidents suggests the modest time savings of emergent transport may not justify the tripled risk of collisions.
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AI Ensemble Matches Expert Consensus for Ultrasound Pneumothorax Detection
An explainable AI model achieved 100% sensitivity and specificity, reducing false positives compared to clinicians in M-mode imaging.
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ILCOR Standardizes Reporting for Resuscitation Education Research
A new Utstein style consensus report defines 111 specific metrics to unify how training efficacy is measured across clinical cohorts.
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Early EEG Findings Guide Shorter Sedation After Cardiac Arrest
Patients with favorable EEG patterns within 12 hours of arrest saw mechanical ventilation and ICU stays reduced by over 50 percent.
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Sepsis-Associated Respiratory Mortality Rises Over 25 Years
A longitudinal analysis of 2 million deaths reveals a significant mortality surge during the pandemic and persistent demographic disparities.
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Open-Source Models Accurately Identify Pediatric Pneumonia in Radiology Reports
Large language models achieve F1 scores up to 0.97, surpassing traditional machine learning in classifying free-text chest X-ray reports.
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High-Dose Calcium Chloride Reduces 24-Hour Mortality in Trauma Patients
A 1:2 ratio of calcium chloride to whole blood units lowered the odds of early death by 84% in a retrospective cohort study.
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Rapid Susceptibility Testing Speeds Antibiotic Adjustments but Not Outcomes
While rapid testing accelerated antibiotic adjustments by 14 hours, it did not improve 30-day survival or reduce deleterious events.
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Low-Calorie Feeding Does Not Worsen Kidney Function in Shock
A post hoc analysis of 3,036 patients shows early restrictive diets are safe for the kidneys, even with preexisting dysfunction.
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Peri-Ictal MRI Abnormalities Predict 60% Seizure Risk After Status Epilepticus
Transient DWI and FLAIR changes within 48 hours of a first status epilepticus episode identify patients at high risk for epilepsy.
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Inhaled Methoxyflurane Avoids IV Sedation in Half of Prehospital Fractures
Inhaled methoxyflurane successfully facilitated prehospital limb reduction in 54% of patients without requiring intravenous sedation.
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Consensus Algorithm Standardizes Rural Air Medical Transport Triage
A multidisciplinary panel used a Delphi survey to identify 18 patient factors and 6 interventions that warrant helicopter transport.
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Young Children Require Higher Benzodiazepine Doses for PICU Ventilation
A retrospective cohort study reveals that children under five receive significantly higher weight-adjusted doses of midazolam and lorazepam.
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Bedside Score Predicts Successful Dialysis Discontinuation in ICU Patients
The UNDERSCORE tool uses six routine clinical variables to help physicians determine if critically ill patients can safely stay off dialysis.
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Algorithm Predicts Mortality in Carbapenem-Resistant ICU Infections
A LightGBM model using routine clinical data accurately predicted 15-day mortality, highlighting coagulopathy and time to antibiotics.
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Opioid Medications Halve Mortality but Reach Only a Quarter of Patients
A clinical review details how optimizing methadone, buprenorphine, and naloxone can close the treatment gap and reduce all-cause mortality.
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Continuous Rocuronium Yields Modest Intracranial Pressure Reductions
A retrospective analysis reveals that continuous neuromuscular blockade lowers intracranial pressure by only 1 to 2 mm Hg in severe cases.
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Limiting ICU Wrist Restraints Fails to Increase Delirium-Free Days
A restrictive wrist-strap protocol in mechanically ventilated adults did not improve delirium-free days or increase self-extubation risk.
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12-Week Diet and Exercise Program Improves Post-ICU Physical Function
A 12-week regimen of exercise and protein supplementation significantly improves physical functioning in long-stay ICU survivors.