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physician assistant emergency medicine

https://read.qxmd.com/read/38496022/artificial-intelligence-in-the-pre-analytical-phase-state-of-the-art-and-future-perspectives
#1
JOURNAL ARTICLE
Giuseppe Lippi, Camilla Mattiuzzi, Emmanuel J Favaloro
The use of artificial intelligence (AI) has become widespread in many areas of science and medicine, including laboratory medicine. Although it seems obvious that the analytical and post-analytical phases could be the most important fields of application in laboratory medicine, a kaleidoscope of new opportunities has emerged to extend the benefits of AI to many manual labor-intensive activities belonging to the pre-analytical phase, which are inherently characterized by enhanced vulnerability and higher risk of errors...
January 25, 2024: Journal of Medical Biochemistry
https://read.qxmd.com/read/38494509/handling-the-desire-to-die-evaluation-of-an-elective-course-for-medical-students
#2
JOURNAL ARTICLE
M Schallenburger, J Schwartz, Yann-Nicolas Batzler, St Meier, R Küppers, Th Tenge, A Doll, K Kremeike, D Wetzchewald, M Neukirchen
BACKGROUND: The desire to die can occur in palliative care patients with a prevalence of up to 22%. Not every desire to die is accompanied by a pressure to act, but usually by a burden that can arise from various factors. To address this burden appropriately, health care workers should be trained. Based on an evaluated course on handling the desire to die, an elective course for medical students was developed and evaluated. In order to identify the impact of the elective course's content, a comparison of attitudes towards assisted dying with two other participant groups was conducted...
March 18, 2024: BMC Medical Education
https://read.qxmd.com/read/38484297/esophageal-cancer-treatment-advances-and-need-for-screening
#3
JOURNAL ARTICLE
Daniel C Eisner
Esophageal cancer is a challenging malignancy that often is diagnosed in advanced stages, resulting in a poor prognosis. This article provides a comprehensive review of the two main types of esophageal cancer, esophageal squamous cell carcinoma and esophageal adenocarcinoma, and reviews epidemiology, risk factors, pathogenesis, diagnostic modalities, staging systems, and established and emerging treatments. Recent advancements in treatment for resectable and unresectable esophageal cancer also are explored...
March 14, 2024: JAAPA: Official Journal of the American Academy of Physician Assistants
https://read.qxmd.com/read/38483773/comparison-of-manchester-qsofa-emergency-severity-index-and-national-early-warning-scores-for-prognostic-estimation-and-effective-triage-system-in-geriatric-patients
#4
JOURNAL ARTICLE
Ozge Yildirim, Aysun Sahin, Senem Derya Tatar, Mustafa Yilmaz Gok, Akkan Avci, Sadiye Yolcu Seven
BACKGROUND: Triage refers to classifying and prioritizing patients based on the severity of their injuries or illnesses in the health care setting. The increasing number of elderly patients seeking care in emergency departments (EDs) highlights the need for special attention to the unique needs of this patient population. AIM: We aimed to compare the qSOFA, Emergency Severity Index (ESI), National Early Warning Score (NEWS), and Manchester Triage System (MTS) scores to assist ED physicians in assessing the severity of elderly patients' clinical conditions and triaging them appropriately...
March 14, 2024: Irish Journal of Medical Science
https://read.qxmd.com/read/38483426/harnessing-the-power-of-generative-ai-for-clinical-summaries-perspectives-from-emergency-physicians
#5
JOURNAL ARTICLE
Yuval Barak-Corren, Rebecca Wolf, Ronen Rozenblum, Jessica K Creedon, Susan C Lipsett, Todd W Lyons, Kenneth A Michelson, Kelsey A Miller, Daniel Shapiro, Ben Y Reis, Andrew M Fine
STUDY OBJECTIVE: The workload of clinical documentation contributes to health care costs and professional burnout. The advent of generative artificial intelligence language models presents a promising solution. The perspective of clinicians may contribute to effective and responsible implementation of such tools. This study sought to evaluate 3 uses for generative artificial intelligence for clinical documentation in pediatric emergency medicine, measuring time savings, effort reduction, and physician attitudes and identifying potential risks and barriers...
March 12, 2024: Annals of Emergency Medicine
https://read.qxmd.com/read/38476439/management-of-suicidal-risk-in-the-emergency-department-a-clinical-pathway-using-the-computerized-adaptive-screen-for-suicidal-youth
#6
JOURNAL ARTICLE
Jacqueline Grupp-Phelan, Adam Horwitz, David Brent, Lauren Chernick, Rohit Shenoi, Charlie Casper, Michael Webb, Cheryl King
OBJECTIVE: Given the critical need for efficient and tailored suicide screening for youth presenting in the emergency department (ED), this study establishes validated screening score thresholds for the Computerized Adaptive Screen for Suicidal Youth (CASSY) and presents an example of a suicide risk classification pathway. METHODS: Participants were primarily from the Study One derivation cohort of the Emergency Department Screen for Teens at Risk for Suicide (ED-STARS) enrolled in collaboration with Pediatric Emergency Care Applied Research Networks (PECARN)...
April 2024: Journal of the American College of Emergency Physicians open
https://read.qxmd.com/read/38460311/ecg-based-data-driven-solutions-for-diagnosis-and-prognosis-of-cardiovascular-diseases-a-systematic-review
#7
REVIEW
Pedro A Moreno-Sánchez, Guadalupe García-Isla, Valentina D A Corino, Antti Vehkaoja, Kirsten Brukamp, Mark van Gils, Luca Mainardi
Cardiovascular diseases (CVD) are a leading cause of death globally, and result in significant morbidity and reduced quality of life. The electrocardiogram (ECG) plays a crucial role in CVD diagnosis, prognosis, and prevention; however, different challenges still remain, such as an increasing unmet demand for skilled cardiologists capable of accurately interpreting ECG. This leads to higher workload and potential diagnostic inaccuracies. Data-driven approaches, such as machine learning (ML) and deep learning (DL) have emerged to improve existing computer-assisted solutions and enhance physicians' ECG interpretation of the complex mechanisms underlying CVD...
February 28, 2024: Computers in Biology and Medicine
https://read.qxmd.com/read/38453733/-physician-assisted-interhospital-transfer-an-analysis-from-schleswig-holstein
#8
JOURNAL ARTICLE
Andrea Köser, Christine Eimer, Maximilian Feth, Ulf Lorenzen, Stephan Seewald, Henrik Lehn, Michael Corzillius, Bjarne Schmalbach, Florian Reifferscheid
BACKGROUND: The need for interhospital transport (IHT) of intensive care patients is increasing due to changes in the hospital environment. Interhospital transports are challenging and require careful operational planning of personnel and rescue vehicles. OBJECTIVE: To investigate the need for IHT, an analysis was conducted in the service area of the emergency medical service central dispatch center (IRLS) in Schleswig-Holstein. MATERIAL AND METHODS: Emergency physician-assisted IHT were analyzed in the period from 01...
March 7, 2024: Medizinische Klinik, Intensivmedizin und Notfallmedizin
https://read.qxmd.com/read/38442935/-establishment-and-analysis-of-an-early-prognosis-model-of-patients-with-acute-kidney-injury-in-intensive-care-unit
#9
JOURNAL ARTICLE
Yu'an Geng, Congmei Wang, Zhijing Xu, Lu Qi, Yangang Shi, Shiqiong Su, Kai Wang, Ruifang Liu
OBJECTIVE: To establish a predictive model for the progression of acute kidney injury (AKI) to stage 3 AKI (renal failure) in the intensive care unit (ICU), so as to assist physicians to make early and timely decisions on whether to intervene in advance. METHODS: A retrospective analysis was conducted. Thirty-eight patients with AKI admitted to the intensive care medicine of the Third People's Hospital of Henan Province from January 2018 to May 2023 were enrolled...
February 2024: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
https://read.qxmd.com/read/38429214/the-association-between-c-reactive-protein-levels-and-pediatric-appendicitis-score-and-the-severity-of-appendicitis-in-children
#10
JOURNAL ARTICLE
Jill Fennell, Heather M Territo, Nadya Telt, Brian H Wrotniak, Rafal Kozielski, Earl Pape, Michelle Penque
BACKGROUND: Acute appendicitis is a common cause of abdominal pain leading to emergent abdominal surgery in children. C-reactive protein (CRP), an inflammatory marker typically elevated in acute appendicitis, and Pediatric Appendicitis Score (PAS), a clinical scoring system used for the diagnosis of appendicitis, have the potential to predict the severity of inflammation of the appendix. This may be useful in helping the physician make a treatment plan prior to surgery. OBJECTIVE: The purpose of this study was to assess whether CRP value and PAS differ with the extent of inflammation of the appendix seen on histologic examination...
December 9, 2023: Journal of Emergency Medicine
https://read.qxmd.com/read/38425612/management-protocol-for-uncomplicated-peritonsillar-abscess-standardizing-care-and-improving-emergency-medicine-resident-confidence
#11
JOURNAL ARTICLE
John Casey, Scott Keidel, Marissa Kudo, Miriam Chan
INTRODUCTION: A peritonsillar abscess (PTA) is a frequent reason for a visit to the emergency department. As there are no current published guidelines for medical versus surgical management, attending physicians vary among management tendencies, generating uncertainty among resident physicians. This project established a standard of care for managing patients with PTA and provided clear management guidelines to the emergency department, in collaboration with the otolaryngology department, at a community academic hospital...
January 2024: Curēus
https://read.qxmd.com/read/38415406/overcrowding-in-the-dispatching-centre-during-the-covid-19-crisis-are-medical-students-a-resource
#12
JOURNAL ARTICLE
Delphine Douillet, Delphine Plard, François Morin, Yannick Courjault, Gwladys Gaultier, Nicolas Lerolle, François Templier, Pierre-Marie Roy, Dominique Savary
INTRODUCTION: In February, the emergence of COronaVIrus Disease 2019 (COVID - 19) in France made it necessary to rapidly adapt emergency and SAMU services in order to take care of many infected patients. To respond to the increase in the number of calls in the dispatch centers, reinforcements were necessary on the fronts of the Medical Regulation Assistants (ARM). The aim of this study was to assess the relevance of medical students' responses to first calls exclusively concerning COVID-19...
February 28, 2024: Disaster Medicine and Public Health Preparedness
https://read.qxmd.com/read/38355454/emergency-physician-personnel-crisis-a-survey-on-attitudes-of-new-generations-in-slovenia
#13
JOURNAL ARTICLE
Luka Petravić, Boštjan Bajec, Evgenija Burger, Eva Tiefengraber, Ana Slavec, Matej Strnad
BACKGROUND: Emergency departments globally are overburdened, and emergency medicine residency is losing popularity among students and physicians. This raises concerns about the collapse of a life-saving system. Our goal was to identify the key workforce reasoning and question medical staff employment behavior. METHODS: This was a prospective cross-sectional study. In December 2022, medical students and pre-residency doctors in Slovenia were invited to complete a web-based questionnaire...
February 14, 2024: BMC Emergency Medicine
https://read.qxmd.com/read/38353927/a-q-transform-based-deep-learning-model-for-the-classification-of-atrial-fibrillation-types
#14
JOURNAL ARTICLE
B Dhananjay, R Pradeep Kumar, Bala Chakravarthy Neelapu, Kunal Pal, J Sivaraman
According to the World Health Organization (WHO), Atrial Fibrillation (AF) is emerging as a global epidemic, which has resulted in a need for techniques to accurately diagnose AF and its various subtypes. While the classification of cardiac arrhythmias with AF is common, distinguishing between AF subtypes is not. Accurate classification of AF subtypes is important for making better clinical decisions and for timely management of the disease. AI techniques are increasingly being considered for image classification and detection in various ailments, as they have shown promising results in improving diagnosis and treatment outcomes...
February 14, 2024: Physical and engineering sciences in medicine
https://read.qxmd.com/read/38340216/utility-of-tele-guidance-for-point-of-care-ultrasound-a-single-center-prospective-diagnostic-study
#15
JOURNAL ARTICLE
Eric M Cal, Elias Gunnell, Kristen Olinger, Thad Benefield, Jacob Nelson, Elise Maggioncalda, Katrina McGinty
BACKGROUND: Point-of-care-ultrasound (POCUS) improves diagnostic accuracy and expedites lifesaving procedures. Remote areas disproportionately underuse ultrasound (US) due to a dearth of US trained professionals, imaging tools, and lack of quality assurance. Handheld US probes have been approved for diagnostic imaging but there have been limited studies examining their tele-guidance features. This study investigates whether physician tele-guidance improved ultrasound image acquisition by untrained scanners...
February 10, 2024: Journal of Ultrasound
https://read.qxmd.com/read/38309982/utilizing-nurse-practitioners-and-physician-assistants-in-academic-emergency-departments-does-not-reduce-residents-exposure-to-more-complex-patients
#16
JOURNAL ARTICLE
Meghal Mehta, Sara Scott, Lawrence H Brown
BACKGROUND: Whether integration of nurse practitioners (NPs) and physician assistants (PAs) into academic emergency departments (EDs) affects emergency medicine (EM) resident clinical learning opportunities is unclear. OBJECTIVE: We sought to compare EM resident exposure to more-complex patients, as well as patients undergoing Accreditation Council for Graduate Medical Education (ACGME)-required procedures, at nonpediatric academic EDs with lower, moderate, and higher levels of NP/PA utilization...
November 18, 2023: Journal of Emergency Medicine
https://read.qxmd.com/read/38309959/-standard-technical-specifications-for-methacholine-chloride-methacholine-bronchial-challenge-test-2023
#17
JOURNAL ARTICLE
(no author information available yet)
The methacholine challenge test (MCT) is a standard evaluation method of assessing airway hyperresponsiveness (AHR) and its severity, and has significant clinical value in the diagnosis and treatment of bronchial asthma. A consensus working group consisting of experts from the Pulmonary Function and Clinical Respiratory Physiology Committee of the Chinese Association of Chest Physicians, the Task Force for Pulmonary Function of the Chinese Thoracic Society, and the Pulmonary Function Group of Respiratory Branch of the Chinese Geriatric Society jointly developed this consensus...
February 12, 2024: Chinese Journal of Tuberculosis and Respiratory Diseases
https://read.qxmd.com/read/38296765/a-novel-intubation-technique-bougie-introduction-via-ducanto-suction-catheter
#18
JOURNAL ARTICLE
Nicholas Cochran-Caggiano, Jordan Holliday, Cory Howard
BACKGROUND: Airway management is a defining skill that demands mastery by emergency physicians. Airway emergencies pose considerable morbidity and mortality risks. Familiarity with, and mastery of, a variety of airway management approaches and equipment can prove invaluable for management of anatomically and physiologically difficult airways. CASE REPORT: A 67-year-old woman presented to a level II trauma after a motor vehicle collision. Emergency medical services reported left-sided injuries, including diminished breath sounds...
November 24, 2023: Journal of Emergency Medicine
https://read.qxmd.com/read/38286500/modern-management-of-acute-atrial-fibrillation-and-atrial-flutter
#19
JOURNAL ARTICLE
Ian G Stiell, Debra Eagles
This clinical review is intended to assist emergency physicians manage patients who present to the emergency department (ED) with acute/recent-onset atrial fibrillation (AF) or flutter (AFL). This article is based primarily on the 2021 Canadian Association of Emergency Physicians (CAEP) Acute Atrial Fibrillation/Flutter Best Practices Checklist. We encourage readers to download the open access CAEP Checklist article (https://link.springer.com/article/10.1007/s43678-021-00167-y) and the free smartphone app (CAEP Atrial Fibrillation Guide)...
January 29, 2024: Clinical and Experimental Emergency Medicine
https://read.qxmd.com/read/38278680/the-pitfalls-of-using-pop-off-valves-in-adult-emergency-airway
#20
JOURNAL ARTICLE
Anthony Rauschenbach, Sahini Pothireddy, Paul Young, Robert F Reardon, Brian E Driver
BACKGROUND: Although common in pediatric airway equipment, positive-pressure relief ("pop-off") valves are also present on some adult resuscitator bags. These valves are designed to decrease barotrauma but, in doing so, limit the airway pressure provided during manual bag-assisted ventilation. In critically ill adult patients with high airway pressures, these valves can be detrimental and result in hypoventilation and subsequent hypoxemia. CASE REPORTS: In the 7 days after an unannounced introduction of new resuscitator bags with pop-off valves in the emergency department, there were 3 adult patients for whom an open pop-off valve resulted in hypoventilation and hypoxemia...
November 27, 2023: Journal of Emergency Medicine
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